Kelley Rae Hall, is a medicare enrolled "Family Medicine - Hospice And Palliative Medicine" in Greenville, Ohio. She went to Ohio Medical University and graduated in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hospice Of Darke County, Inc. and her current practice location is
1350 N Broadway, Greenville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 447-8907.
Kelley Rae Hall is licensed to practice in Ohio (license number 021828) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1851818314.
Provider's Profile
| Full Name | Kelley Rae Hall |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 1350 N Broadway, Greenville, Ohio |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelley Rae Hall attended and graduated from Ohio Medical University in 2017
NPI Data:
- NPI Number: 1851818314
- Provider Enumeration Date: 08/25/2017
- Last Update Date: 02/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 6204194483
- Enrollment ID: I20171215001960
Medical Identifiers
Medical identifiers for Kelley Rae Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851818314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WH1000X | Registered Nurse - Hospice | RN259355 (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | 021828 (Ohio) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | 021828 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hospice Of Darke County, Inc. | 7618887860 | 4 |
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. Kelley Rae Hall allows following entities to bill medicare on her behalf.
| Entity Name | Hospice Of Darke County, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164400529
PECOS PAC ID: 7618887860
Enrollment ID: O20080813000665 |
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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. Kelley Rae 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 |
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Kelley Rae Hall,
Po Box 392,
Gettysburg, OH 45328-0392
Ph: (937) 447-8907 | Kelley Rae Hall,
1350 N Broadway,
Greenville, OH 45331
Ph: (937) 447-8907 |
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