Charles Cory Hallacy, - Medicare Nurse Anesthetist, Certified Registered in Iola, KS

Charles Cory Hallacy, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Iola, Kansas. His current practice location is 3066 N Kentucky St, Iola, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 365-1000.

Charles Cory Hallacy is licensed to practice in Kansas (license number 557616) 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 1295211704.

Contact Information

Charles Cory Hallacy,
3066 N Kentucky St,
Iola, KS 66749-1951
(620) 365-1000
Not Available

Map and Direction




Provider's Profile

Full NameCharles Cory Hallacy
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location3066 N Kentucky St, Iola, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295211704
  • Provider Enumeration Date: 07/17/2018
  • Last Update Date: 07/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8224388632
  • Enrollment ID: I20180905003892

Medical Identifiers

Medical identifiers for Charles Cory Hallacy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295211704NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 557616 (Kansas)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. Charles Cory Hallacy allows following entities to bill medicare on his behalf.
Entity NameLabette County Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336133362
PECOS PAC ID: 5496664369
Enrollment ID: O20031112000344
Entity NameSaint Lukes Hospital Of Garnett Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619901725
PECOS PAC ID: 8729071691
Enrollment ID: O20040406001183
Entity NameFreeman Surgical Center Of Pittsburg, Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1881089076
PECOS PAC ID: 6608186895
Enrollment ID: O20151029002046
Entity NameSaint Lukes Hospital Of Allen County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639185457
PECOS PAC ID: 5496178691
Enrollment ID: O20200805001823
Entity NameBaxley Anesthetics Of Kansas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508562059
PECOS PAC ID: 1951776764
Enrollment ID: O20230410001345
Entity NameMercy Clinic Pittsburg Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912751884
PECOS PAC ID: 7618418088
Enrollment ID: O20240925002855

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. Charles Cory Hallacy 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 AddressPractice Location Address
Charles Cory Hallacy,
303 S Pine St,
Arma, KS 66712-4008

Ph: () -
Charles Cory Hallacy,
3066 N Kentucky St,
Iola, KS 66749-1951

Ph: (620) 365-1000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Iola, KS

David Willis Jordan, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 101 South First Street, Iola, KS 66749
Phone: 620-365-1000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.