Dr Connie Hale, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Bossier City, Louisiana. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brentwood Acquisition-shreveport Inc and her current practice location is
3018 Old Minden Rd Ste 1117, Bossier City, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 746-1935.
Dr Connie Hale is licensed to practice in Louisiana (license number AP03832) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790751642.
Physician's Profile
| Full Name | Dr Connie Hale |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 3018 Old Minden Rd Ste 1117, Bossier City, Louisiana |
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| Accepts Medicare Assignments | Yes. She 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 Connie Hale graduated from medical school in 2019
NPI Data:
- NPI Number: 1790751642
- Provider Enumeration Date: 02/28/2006
- Last Update Date: 09/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 9133450034
- Enrollment ID: I20191008000246
Medical Identifiers
Medical identifiers for Dr Connie Hale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790751642 | NPI | - | NPPES |
| 1189537 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | AP03832 (Louisiana) | Secondary |
| 276400000X | Rehabilitation, Substance Use Disorder Unit | AP03832 (Louisiana) | Secondary |
| 283Q00000X | Psychiatric Hospital | AP03832 (Louisiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP03832 (Louisiana) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP03832 (Louisiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Brentwood Acquisition-shreveport Inc | 1951379312 | 15 |
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 Connie Hale allows following entities to bill medicare on her behalf.
| Entity Name | Brentwood Acquisition-shreveport Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164725701
PECOS PAC ID: 1951379312
Enrollment ID: O20040923000015 |
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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 Connie Hale 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 |
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Dr Connie Hale, NP
240 Piccadilly Cir,
Bossier City, LA 71111-7127
Ph: (318) 422-4620 | Dr Connie Hale, NP
3018 Old Minden Rd Ste 1117,
Bossier City, LA 71112-2497
Ph: (318) 746-1935 |
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