Haley Hodoval, in Lawrenceville, GA - Medicare Nurse Practitioner

Haley Hodoval, is a medicare enrolled "Nurse Practitioner" in Lawrenceville, Georgia. Her current practice location is 4850 Sugarloaf Pkwy Ste 101, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 490-8300.

Haley Hodoval is licensed to practice in Georgia (license number RN282527) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295367464.

Contact Information

	Haley Hodoval,
	4850 Sugarloaf Pkwy Ste 101, Lawrenceville, GA 30044-2860
	(678) 490-8300
	(415) 252-7176

Map and Direction

Provider's Profile

Full Name	Haley Hodoval
Gender	Female
Speciality	Nurse Practitioner
Location	4850 Sugarloaf Pkwy Ste 101, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295367464
Provider Enumeration Date: 02/06/2020
Last Update Date: 04/18/2025

Medicare PECOS Information:

PECOS PAC ID: 1153857594
Enrollment ID: I20241210000366

Medical Identifiers

Medical identifiers for Haley Hodoval such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295367464	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN282527 (Georgia)	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. Haley Hodoval allows following entities to bill medicare on her behalf.

Entity Name	Iora Senior Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518446194 PECOS PAC ID: 0143520189 Enrollment ID: O20181029003060

Entity Name	Iora Health Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457846727 PECOS PAC ID: 1850644394 Enrollment ID: O20181030001712

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. Haley Hodoval 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
Haley Hodoval, 4850 Sugarloaf Pkwy Ste 101, Lawrenceville, GA 30044-2860 Ph: () -	Haley Hodoval, 4850 Sugarloaf Pkwy Ste 101, Lawrenceville, GA 30044-2860 Ph: (678) 490-8300

Reviews and Comments

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Mrs. Susan P Whatley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30046 Phone: 770-339-4225
Mrs. Crichton Anne Hollingsworth, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 770-339-5999

Haley Hodoval, - Medicare Nurse Practitioner in Lawrenceville, GA