Michael Revere Hallenbeck, MD is a medicare enrolled "Pediatrics" physician in Boaz, Alabama. His current practice location is
2505 Us Highway 431, Boaz, Alabama. You can reach out to his office (for appointments etc.) via phone at
(256) 593-8310.
Michael Revere Hallenbeck is licensed to practice in Alabama (license number 44718) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275989725.
Physician's Profile
| Full Name | Michael Revere Hallenbeck |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 2505 Us Highway 431, Boaz, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275989725
- Provider Enumeration Date: 05/13/2016
- Last Update Date: 11/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446545248
- Enrollment ID: I20200824003376
Medical Identifiers
Medical identifiers for Michael Revere Hallenbeck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275989725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 44718 (Alabama) | 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. Michael Revere Hallenbeck allows following entities to bill medicare on his behalf.
| Entity Name | Maury Regional Medical Group, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205886264 PECOS PAC ID: 7911810742 Enrollment ID: O20040227000252 |
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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. Michael Revere Hallenbeck 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 |
Michael Revere Hallenbeck, MD 2505 Us Highway 431, Boaz, AL 35957-5908 Ph: (256) 593-8310 | Michael Revere Hallenbeck, MD 2505 Us Highway 431, Boaz, AL 35957-5908 Ph: (256) 593-8310 |
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