| Justin Thomas Hall, ACNP | |
| 
					16601 N 40th St Ste 204, Phoenix, AZ 85032-3356  | |
| (602) 633-3721 | |
| (602) 953-5466 | 
| Full Name | Justin Thomas Hall | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Acute Care | 
| Location | 16601 N 40th St Ste 204, Phoenix, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477021426 | NPI | - | NPPES | 
| 459346 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | AP11744 (Arizona) | Primary | 
| Entity Name | Acute Care Surgical Specialists Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1225311871 PECOS PAC ID: 7315106416 Enrollment ID: O20120308000890  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Justin Thomas Hall, ACNP 16601 N 40th St Ste 204, Phoenix, AZ 85032-3356 Ph: (602) 633-3721  | Justin Thomas Hall, ACNP 16601 N 40th St Ste 204, Phoenix, AZ 85032-3356 Ph: (602) 633-3721  | 
Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581  | |
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186  | |
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132  | |
Tyler Ann Brockhoff, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1710 N 16th St Ste F1, Phoenix, AZ 85006 Phone: 623-224-3618 Fax: 623-244-1595  | |
Rebecca Anne Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste E1, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 480-428-0475  | |
Susannamma Lijan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6850 W Indian School Rd, Phoenix, AZ 85033 Phone: 623-469-1331  | |
Ms. Aldijana Bjelobrkovic, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4350 N 19th Ave Ste 3, Phoenix, AZ 85015 Phone: 602-279-4975 Fax: 602-279-1108  |