| Justin David Hallock, | |
|
1107 14th Ave Se Ste 300, Decatur, AL 35601-3368 | |
| (256) 350-0362 | |
| (256) 355-9779 |
| Full Name | Justin David Hallock |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 13 Years |
| Location | 1107 14th Ave Se Ste 300, Decatur, Alabama |
| 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 |
|---|---|---|---|
| 1841633187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 38103 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Decatur Morgan Hospital - Decatur Campus | Decatur, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Decatur Orthopaedic Clinic Llc | 5193742823 | 15 |
| Entity Name | Decatur Orthopaedic Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740331347 PECOS PAC ID: 5193742823 Enrollment ID: O20051101000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin David Hallock, 1107 14th Ave Se Ste 300, Decatur, AL 35601-3368 Ph: (256) 350-0362 | Justin David Hallock, 1107 14th Ave Se Ste 300, Decatur, AL 35601-3368 Ph: (256) 350-0362 |
Justin L Daigre, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1103 16th Ave Se, Decatur, AL 35601 Phone: 256-350-0362 Fax: 256-355-9779 | |
Robert A Sparks Iii, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1103 16th Ave Se, Decatur, AL 35601 Phone: 256-350-0362 | |
Ewin B Jenkins, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1103 16th Ave Se, Decatur, AL 35601 Phone: 256-350-0362 | |
John Randall Riehl, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1107 14th Ave Se Ste 300, Decatur, AL 35601 Phone: 256-350-0362 | |
Dr. Jay Richard Solorio, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2828 Highway 31 S, Ste 112, Decatur, AL 35603 Phone: 256-353-8811 Fax: 256-301-6196 | |
Robert Stacy Tapscott, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1103 16th Ave Se, Decatur, AL 35601 Phone: 256-350-0362 | |
William A Sims, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1103 16th Ave Se, Decatur, AL 35601 Phone: 256-350-0362 |