| Dr Thomas Carl Hall, MD | |
|
1212 W 12th Ave, Stillwater, OK 74074-4400 | |
| (405) 533-3376 | |
| (405) 533-1093 |
| Full Name | Dr Thomas Carl Hall |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 24 Years |
| Location | 1212 W 12th Ave, Stillwater, Oklahoma |
| 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 |
|---|---|---|---|
| 1174578280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 22869 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stillwater Medical Center | Stillwater, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oliver Street 5.01(a) Inc | 0042464125 | 169 |
| Entity Name | Oliver Street 5.01(a) Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20180626003255 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Carl Hall, MD 5310 Harvest Hill Rd Ste 290, Dallas, TX 75230-5826 Ph: (214) 420-0650 | Dr Thomas Carl Hall, MD 1212 W 12th Ave, Stillwater, OK 74074-4400 Ph: (405) 533-3376 |
Dr. Robert Allan Breedlove, M.D., FAAD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1604 W 8th Ave, Stillwater, OK 74074 Phone: 405-624-1077 Fax: 405-377-2273 |
Kristyna Lenee Iyer, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1329 S Sangre Rd, Stillwater, OK 74074 Phone: 405-533-3376 Fax: 405-533-1312 |
Sara K Metcalf, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1212 W 12th Ave, Stillwater, OK 74074 Phone: 405-533-3376 Fax: 405-533-1093 |