Thomas Lathrop Hall, MD in Modesto, CA

Thomas Lathrop Hall, MD is a medicare enrolled "Dermatology" physician in Modesto, California. His current practice location is 4125 Bangs Ave, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 735-6120.

Thomas Lathrop Hall is licensed to practice in California (license number G 45752) 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 1770570814.

Contact Information

	Thomas Lathrop Hall, MD
	4125 Bangs Ave, Modesto, CA 95356-8713
	(209) 735-6120
	Not Available

Map and Direction

Physician's Profile

Full Name	Thomas Lathrop Hall
Gender	Male
Speciality	Dermatology
Location	4125 Bangs Ave, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770570814
Provider Enumeration Date: 10/04/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3375557002
Enrollment ID: I20070226000659

Medical Identifiers

Medical identifiers for Thomas Lathrop Hall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770570814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	G 45752 (California)	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. Thomas Lathrop Hall allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Thomas Lathrop Hall 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
Thomas Lathrop Hall, MD Po Box 577680, Modesto, CA 95357-7680 Ph: (209) 735-6120	Thomas Lathrop Hall, MD 4125 Bangs Ave, Modesto, CA 95356-8713 Ph: (209) 735-6120

Reviews and Comments

Dermatology Doctors in Modesto, CA

Mr. Blake Daniel Alexander, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1101 Standiford Ave, Suite A-3, Modesto, CA 95350 Phone: 209-578-5072 Fax: 209-578-5292
Dr. Shirley Lynne Van, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1429 College Ave, Suite B, Modesto, CA 95350 Phone: 209-526-2242
Thomas G Salopek, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211
Dr. Daniel Jerome Trozak, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1444 Florida Ave, Ste 201, Modesto, CA 95350 Phone: 209-526-4384
Dr. Purita Z Villanueva, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 609 E Orangeburg Ave, Suite 201, Modesto, CA 95350 Phone: 209-572-3224 Fax: 209-572-4528
Gary Wagner, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211
Kinston Cummings, Dermatology Medicare: Medicare Enrolled Practice Location: 3105 Mchenry Ave Ste 101, Modesto, CA 95350 Phone: 209-575-2700

Thomas Lathrop Hall, MD - Medicare Dermatology in Modesto, CA