Kelly Ann Hale, DO - Medicare Emergency Medicine in Bolivia, NC

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Kelly Ann Hale, DO is a medicare enrolled "Emergency Medicine" physician in Bolivia, North Carolina. Her current practice location is 240 Hospital Dr Ne, Bolivia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 721-1700.

Kelly Ann Hale is licensed to practice in Ohio (license number 00000000000000000000) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275874109.

Contact Information

Kelly Ann Hale, DO
240 Hospital Dr Ne,
Bolivia, NC 28422-8346
(910) 721-1700
Not Available

Map and Direction




Physician's Profile

Full NameKelly Ann Hale
GenderFemale
SpecialityEmergency Medicine
Location240 Hospital Dr Ne, Bolivia, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275874109
  • Provider Enumeration Date: 03/01/2013
  • Last Update Date: 12/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103123898
  • Enrollment ID: I20160323001763

Medical Identifiers

Medical identifiers for Kelly Ann Hale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275874109NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 00000000000000000000 (Ohio)Primary

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. Kelly Ann Hale allows following entities to bill medicare on her behalf.
Entity NameEmergency Professional Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093762353
PECOS PAC ID: 7214832435
Enrollment ID: O20040511000864
Entity NamePomerene Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770957185
PECOS PAC ID: 5496856270
Enrollment ID: O20160208000863

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. Kelly Ann 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 AddressPractice Location Address
Kelly Ann Hale, DO
102 Deer Cove Rd,
Hampstead, NC 28443-2398

Ph: () -		Kelly Ann Hale, DO
240 Hospital Dr Ne,
Bolivia, NC 28422-8346

Ph: (910) 721-1700

Reviews and Comments


Emergency Medicine Doctors in Bolivia, NC

Dr. Douglas R. Morgart, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422
Phone: 843-497-5929    
Dr. Gregory Davis, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422
Phone: 843-497-5929    
Richard S. Carley, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422
Phone: 843-497-5929    Fax: 843-497-6601
William Sherrod, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422
Phone: 843-497-5929    
Ryan Jordanhazy, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422
Phone: 910-721-1000    
Jane Anne Shaw, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422
Phone: 910-721-2070    Fax: 910-721-2074

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.