| Ms Jennifer Backer Hall, MD | |
|
380 Hospital Dr., Suite 410, Macon, GA 31217 | |
| (478) 746-5644 | |
| (478) 745-4849 |
| Full Name | Ms Jennifer Backer Hall |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 11 Years |
| Location | 380 Hospital Dr., Macon, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407923840 | NPI | - | NPPES |
| 00505788B | Medicaid | GA | |
| 003106353A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | BP10065734 (Texas) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 003397 (Georgia) | Secondary |
| 207L00000X | Anesthesiology | T1714 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Houston Healthcare Conroe | Conroe, TX | Hospital |
| Kingwood Medical Center | Kingwood, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Independent Physicians Network Pllc | 5496029407 | 201 |
| Entity Name | Independent Physicians Network Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396274676 PECOS PAC ID: 5496029407 Enrollment ID: O20170914001408 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Entity Name | Texas Anesthesia Team Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467037937 PECOS PAC ID: 6608285424 Enrollment ID: O20210507001442 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Backer Hall, MD P.o. Box 2564, Macon, GA 31203-2564 Ph: (478) 746-5644 | Ms Jennifer Backer Hall, MD 380 Hospital Dr., Suite 410, Macon, GA 31217 Ph: (478) 746-5644 |
Dr. Mauro Faibicher, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Keith N Phillippi, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Dr. David M Kalish Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Dorene Jeanine Hinton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Dr, Macon, GA 31217 Phone: 478-750-8606 | |
Hubert R Buxton Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Manojna P Sanjeev, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Boris Pechenik, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-1000 |