Dr Clarence Edward Hall Ii, MD is a medicare enrolled "Family Medicine" physician in Crewe, Virginia. He graduated from medical school in 1998 and has 27 years of diverse experience with area of expertise as Family Practice. His current practice location is
12522 W. Colonial Trail Hwy., Crewe, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 645-9191.
Dr Clarence Edward Hall Ii is licensed to practice in Virginia (license number 0101102561) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487730362.
Physician's Profile
| Full Name | Dr Clarence Edward Hall Ii |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 27 Years |
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| Location | 12522 W. Colonial Trail Hwy., Crewe, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Clarence Edward Hall Ii graduated from medical school in 1998
NPI Data:
- NPI Number: 1487730362
- Provider Enumeration Date: 10/31/2006
- Last Update Date: 08/26/2008
Medicare PECOS Information:
- PECOS PAC ID: 4082785969
- Enrollment ID: I20080620000084
Medical Identifiers
Medical identifiers for Dr Clarence Edward Hall Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487730362 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 0101102561 (Virginia) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Clarence Edward Hall Ii allows following entities to bill medicare on his behalf.
| Entity Name | Crewe Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316120892
PECOS PAC ID: 6901977883
Enrollment ID: O20080620000021 |
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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. Dr Clarence Edward Hall Ii is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Clarence Edward Hall Ii, MD
Po Box 528, 12522 W. Colonial Trail Hwy.,
Crewe, VA 23930-0528
Ph: (434) 645-9191 | Dr Clarence Edward Hall Ii, MD
12522 W. Colonial Trail Hwy.,
Crewe, VA 23930
Ph: (434) 645-9191 |
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