Dr Jonathan Ray Hall, CRNA in Fayetteville, NC - Medicare Nurse Anesthetist, Certified Registered

Dr Jonathan Ray Hall, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fayetteville, North Carolina. His current practice location is 2053 Valleygate Dr Ste 102, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 323-3757.

Dr Jonathan Ray Hall is licensed to practice in North Carolina (license number 296959) 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 1083173769.

Contact Information

	Dr Jonathan Ray Hall, CRNA
	2053 Valleygate Dr Ste 102, Fayetteville, NC 28304-3983
	(910) 323-3757
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Jonathan Ray Hall
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	2053 Valleygate Dr Ste 102, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083173769
Provider Enumeration Date: 03/13/2019
Last Update Date: 10/06/2022

Medicare PECOS Information:

PECOS PAC ID: 0547680522
Enrollment ID: I20201013000701

Medical Identifiers

Medical identifiers for Dr Jonathan Ray Hall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083173769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	296959 (North Carolina)	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. Dr Jonathan Ray Hall allows following entities to bill medicare on his behalf.

Entity Name	Raleigh Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104962315 PECOS PAC ID: 6800874322 Enrollment ID: O20040712000418

Entity Name	Wayne Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750353462 PECOS PAC ID: 3971409079 Enrollment ID: O20070412000518

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. Dr Jonathan Ray 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
Dr Jonathan Ray Hall, CRNA 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 Ph: (509) 768-2249	Dr Jonathan Ray Hall, CRNA 2053 Valleygate Dr Ste 102, Fayetteville, NC 28304-3983 Ph: (910) 323-3757

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fayetteville, NC

Mrs. Leesa Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6440 Fax: 910-609-5365
Mrs. Miriah Catherine Adams, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5132
Edelrose Fortea Bacanto, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 805-509-7556
Miss Jennifer Shattuck, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6440 Fax: 910-609-5365
Jennifer Myles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5132 Fax: 910-321-6236
Mrs. Debbie Morales, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6440 Fax: 910-609-5365

Dr Jonathan Ray Hall, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fayetteville, NC