Nicholas Hallak, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Hoquiam, Washington. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Grays Harbor Community Hospital and his current practice location is
815 K St, Hoquiam, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 537-6430.
Nicholas Hallak is licensed to practice in Washington (license number MD60014240) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225239916.
Physician's Profile
| Full Name | Nicholas Hallak |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 21 Years |
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| Location | 815 K St, Hoquiam, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicholas Hallak graduated from medical school in 2003
NPI Data:
- NPI Number: 1225239916
- Provider Enumeration Date: 05/30/2007
- Last Update Date: 08/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 8325113608
- Enrollment ID: I20080821000104
Medical Identifiers
Medical identifiers for Nicholas Hallak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225239916 | NPI | - | NPPES |
| 1125889 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | MD60014240 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Grays Harbor Community Hospital | 3577462365 | 70 |
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. Nicholas Hallak allows following entities to bill medicare on his behalf.
| Entity Name | Grays Harbor Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154378859
PECOS PAC ID: 3577462365
Enrollment ID: O20031231000081 |
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| Entity Name | Ghch Physician Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326217670
PECOS PAC ID: 7416011184
Enrollment ID: O20090123000367 |
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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. Nicholas Hallak 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 |
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Nicholas Hallak, MD
815 K St,
Hoquiam, WA 98550-3705
Ph: (360) 537-6430 | Nicholas Hallak, MD
815 K St,
Hoquiam, WA 98550-3705
Ph: (360) 537-6430 |
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