Mrs Whitney J Hall, PA-C - Medicare Physician Assistant in Licking, MO

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Mrs Whitney J Hall, PA-C is a medicare enrolled "Physician Assistant" in Licking, Missouri. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Texas County Memorial Hospital and her current practice location is 139 W Highway 32, Licking, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 674-3011.

Mrs Whitney J Hall is licensed to practice in Missouri (license number 2014031392) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124437330.

Contact Information

Mrs Whitney J Hall, PA-C
139 W Highway 32,
Licking, MO 65542-9898
(573) 674-3011
(573) 674-4765

Map and Direction




Provider's Profile

Full NameMrs Whitney J Hall
GenderFemale
SpecialityPhysician Assistant
Experience12 Years
Location139 W Highway 32, Licking, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Whitney J Hall graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1124437330
  • Provider Enumeration Date: 08/13/2014
  • Last Update Date: 09/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2668690850
  • Enrollment ID: I20140829001953

Medical Identifiers

Medical identifiers for Mrs Whitney J Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124437330NPI-NPPES
26D0679044OtherMOCLIA
220024367MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2014031392 (Missouri)Primary
363A00000XPhysician Assistant 2014027661 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Home Health Of The OzarksHouston, MOHome health agency
Texas County Memorial HospitalHouston, MOHospital
Phelps HealthRolla, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Texas County Memorial Hospital943604169630

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. Mrs Whitney J Hall allows following entities to bill medicare on her behalf.
Entity NamePhelps County Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891766051
PECOS PAC ID: 2860391158
Enrollment ID: O20040106000405
Entity NameOzarks Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831115641
PECOS PAC ID: 3870491863
Enrollment ID: O20040209001035
Entity NameOzarks Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831115641
PECOS PAC ID: 3870491863
Enrollment ID: O20040211000422
Entity NameTexas County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235178930
PECOS PAC ID: 9436041696
Enrollment ID: O20041020000359
Entity NamePcrmc Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124237227
PECOS PAC ID: 1557454063
Enrollment ID: O20070829000437
Entity NameIes Missouri LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336849249
PECOS PAC ID: 1254798416
Enrollment ID: O20230601002637

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. Mrs Whitney J 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 AddressPractice Location Address
Mrs Whitney J Hall, PA-C
139 W Highway 32,
Licking, MO 65542-9898

Ph: (573) 674-3011		Mrs Whitney J Hall, PA-C
139 W Highway 32,
Licking, MO 65542-9898

Ph: (573) 674-3011

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.