Thomas Owen Hall, AGACNP is a medicare enrolled "Nurse Practitioner" physician in Boise, Idaho. His current practice location is
190 E Bannock St Fl 10, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 381-5500.
Thomas Owen Hall is licensed to practice in Idaho (license number 67270) 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 1538784558.
Physician's Profile
| Full Name | Thomas Owen Hall |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 190 E Bannock St Fl 10, Boise, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538784558
- Provider Enumeration Date: 06/15/2020
- Last Update Date: 06/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426459058
- Enrollment ID: I20210702000306
Medical Identifiers
Medical identifiers for Thomas Owen Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538784558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 67270 (Idaho) | Secondary |
| 208M00000X | Hospitalist | 1538784558 (Idaho) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | 67270 (Idaho) | 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 Owen Hall allows following entities to bill medicare on his behalf.
| Entity Name | Sound Physicians Of Idaho |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730407461
PECOS PAC ID: 4688705346
Enrollment ID: O20100624000921 |
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| Entity Name | St Lukes Clinic-treasure Valley Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045 |
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| Entity Name | Hospitalist Medicine Physicians Of Idaho- Nampa Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558995316
PECOS PAC ID: 2365871688
Enrollment ID: O20200407001850 |
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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. Thomas Owen 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 Owen Hall, AGACNP
190 E Bannock St,
Boise, ID 83712-6241
Ph: () - | Thomas Owen Hall, AGACNP
190 E Bannock St Fl 10,
Boise, ID 83712-6241
Ph: (208) 381-5500 |
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