John Vincent Hall Jr, NP is a medicare enrolled "Nurse Practitioner - Family" in Pearl River, Louisiana. His current practice location is
64167 Highway 41 Ste C, Pearl River, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(985) 250-9700.
John Vincent Hall Jr is licensed to practice in Louisiana (license number AP08096) 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 1548679244.
Provider's Profile
| Full Name | John Vincent Hall Jr |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 64167 Highway 41 Ste C, Pearl River, Louisiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548679244
- Provider Enumeration Date: 08/06/2014
- Last Update Date: 09/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 8628382850
- Enrollment ID: I20150803000064
Medical Identifiers
Medical identifiers for John Vincent Hall Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548679244 | NPI | - | NPPES |
| 2409964 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | R889798 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP08096 (Louisiana) | 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. John Vincent Hall Jr allows following entities to bill medicare on his behalf.
| Entity Name | Orange Grove Urgent Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831330661 PECOS PAC ID: 6103978721 Enrollment ID: O20090713000442 |
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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. John Vincent Hall Jr 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 |
John Vincent Hall Jr, NP 1301 S Shivers St, Poplarville, MS 39470-3225 Ph: (601) 270-0038 | John Vincent Hall Jr, NP 64167 Highway 41 Ste C, Pearl River, LA 70452-3638 Ph: (985) 250-9700 |
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