Dr Jacquelyn Hall-davis, MD is a
Psychiatry & Neurology - Child & Adolescent Psychiatry physician based in O'fallon, Illinois. Dr Jacquelyn Hall-davis is licensed to practice in Illinois (license number 036080270) and her current practice location is 1669 Windham Way Suite B, O'fallon, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 622-9240.
NPI number for Dr Jacquelyn Hall-davis is 1619042124 and her current mailing address is 1669 Windham Way Suite B, O'fallon, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619042124.
Contact Information
|
Dr Jacquelyn Hall-davis, MD |
|
1669 Windham Way Suite B,
O'fallon, IL 62269-3072 |
|
(618) 622-9240 |
|
(618) 622-9241 |
Map and Direction
Physician's Profile
| Full Name | Dr Jacquelyn Hall-davis |
|---|
| Gender | Female |
|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
|---|
| Location | 1669 Windham Way Suite B, O'fallon, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619042124
- Provider Enumeration Date: 11/21/2006
- Last Update Date: 02/12/2025
Medical Identifiers
Medical identifiers for Dr Jacquelyn Hall-davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619042124 | NPI | - | NPPES |
| 036080270 | Medicaid | IL | |
| 3649 | Other | MO | BCBS MO |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 036080270 (Illinois) | 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. Dr Jacquelyn Hall-davis 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 |
|---|
Dr Jacquelyn Hall-davis, MD
1669 Windham Way Suite B,
O'fallon, IL 62269-3072
Ph: (618) 622-9240 | Dr Jacquelyn Hall-davis, MD
1669 Windham Way Suite B,
O'fallon, IL 62269-3072
Ph: (618) 622-9240 |
Reviews and Comments
Psychiatry & Neurology Doctors in O'fallon, IL