Niesa Cheyenne Hall, is a
Peer Specialist based in Hugo, Oklahoma. Niesa Cheyenne Hall is licensed to practice in Oklahoma (license number ) and her current practice location is
1313 N 4170 Rd, Hugo, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(469) 794-8693.
NPI number for Niesa Cheyenne Hall is 1740965631 and her current mailing address is 601 E Jackson St, Hugo, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740965631.
Healthcare Provider's Profile
| Full Name | Niesa Cheyenne Hall |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1313 N 4170 Rd, Hugo, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740965631
- Provider Enumeration Date: 06/19/2023
- Last Update Date: 09/19/2023
Medical Identifiers
Medical identifiers for Niesa Cheyenne Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740965631 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Niesa Cheyenne Hall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Niesa Cheyenne Hall, 601 E Jackson St, Hugo, OK 74743-4024 Ph: (580) 326-7531 | Niesa Cheyenne Hall, 1313 N 4170 Rd, Hugo, OK 74743-8517 Ph: (469) 794-8693 |
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