| Dr Clarence Edward Hall Ii, MD | |
|
12522 W. Colonial Trail Hwy., Crewe, VA 23930 | |
| (434) 645-9191 | |
| (434) 645-1859 |
| Full Name | Dr Clarence Edward Hall Ii |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 12522 W. Colonial Trail Hwy., Crewe, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487730362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101102561 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Midlothian, VA | Home health agency |
| Southside Community Hospital Home Care Services | Farmville, VA | Home health agency |
| Centra Southside Community Hospital, Inc | Farmville, VA | Hospital |
| Cjw Medical Center | Richmond, VA | Hospital |
| Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
| Community Memorial Hospital | South hill, VA | Hospital |
| Entity Name | Crewe Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316120892 PECOS PAC ID: 6901977883 Enrollment ID: O20080620000021 |
| 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 |
Charles I Rosenbaum, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 12522 W. Colonial Trail Hwy., Crewe, VA 23930 Phone: 434-645-9191 Fax: 434-645-1859 |