Justin Hall, in Fargo, ND - Medicare Nurse Anesthetist, Certified Registered

Justin Hall, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fargo, North Dakota. His current practice location is 5225 23rd Ave S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 417-2000.

Justin Hall is licensed to practice in North Dakota (license number 201142) 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 1780362053.

Contact Information

	Justin Hall,
	5225 23rd Ave S, Fargo, ND 58104-7927
	(701) 417-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Justin Hall
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	5225 23rd Ave S, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780362053
Provider Enumeration Date: 07/07/2023
Last Update Date: 12/10/2024

Medicare PECOS Information:

PECOS PAC ID: 2062948227
Enrollment ID: I20241211001355

Medical Identifiers

Medical identifiers for Justin Hall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780362053	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R39912 (North Dakota)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	201142 (North Dakota)	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. Justin Hall allows following entities to bill medicare on his behalf.

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. Justin 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
Justin Hall, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Justin Hall, 5225 23rd Ave S, Fargo, ND 58104-7927 Ph: (701) 417-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fargo, ND

Ashley Heule, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-371-7635
Julie Honeyman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6355
Todd D Underdahl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 737 Broadway, Fargo, ND 58122 Phone: 701-234-6258 Fax: 701-234-7334
Katie C Busker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 737 Broadway, Fargo, ND 58122 Phone: 701-234-6258
Jordan Idso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2868
Lindsey K Holter, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575
Joshua Keith Maliske, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2000

Justin Hall, - Medicare Nurse Anesthetist, Certified Registered in Fargo, ND