| Mr Lance W Hall, APRN NP-C, CRNFA | |
|
2203 W Lampasas St Ste 111, Ennis, TX 75119-5667 | |
| (972) 875-6200 | |
| Not Available |
| Full Name | Mr Lance W Hall |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2203 W Lampasas St Ste 111, Ennis, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992886923 | NPI | - | NPPES |
| 7444720 | Other | TX | AETNA PROVIDER ID # |
| 2549178 | Other | TX | UHC PROVIDER ID # |
| 8N8069 OR 0037KE | Other | TX | BCBS PROVIDER ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WR0006X | Registered Nurse - Registered Nurse First Assistant | 687286 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1003542 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ennis Regional Medical Center | Ennis, TX | Hospital |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dr. Fredric Puckett Pllc | 0345393872 | 3 |
| Entity Name | Mexia Principal Healthcare Limited Partnership |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730241852 PECOS PAC ID: 8921911876 Enrollment ID: O20050927000848 |
| Entity Name | Texas Specialty Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558521179 PECOS PAC ID: 6305901927 Enrollment ID: O20090216000230 |
| Entity Name | Dr. Fredric Puckett Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073748562 PECOS PAC ID: 0345393872 Enrollment ID: O20090731000402 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lance W Hall, APRN NP-C, CRNFA 2203 W Lampasas St Ste 111, Ennis, TX 75119-5667 Ph: (972) 875-6200 | Mr Lance W Hall, APRN NP-C, CRNFA 2203 W Lampasas St Ste 111, Ennis, TX 75119-5667 Ph: (972) 875-6200 |
Mark Christopher Pollard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2203 W Lampasas St Ste 111, Ennis, TX 75119 Phone: 972-875-0900 | |
Leslie Elaine Donet, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 805 S Clay St, Ennis, TX 75119 Phone: 972-875-8300 | |
Mrs. Courtney Aguado, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2201 W Lampasas St, Ennis, TX 75119 Phone: 469-256-2412 | |
Mr. Lemuel Wayne Kemp Jr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2203 W Lampasas St Ste 205, Ennis, TX 75119 Phone: 972-875-6200 Fax: 972-875-6414 | |
Mrs. Jannie Wong, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1905 W Ennis Ave Ste 303, Ennis, TX 75119 Phone: 469-256-0343 | |
Janeal Louise Kitchens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2203 W Lampasas St Ste 101, Ennis, TX 75119 Phone: 972-875-7799 Fax: 972-878-3031 | |
Mrs. Jareka Lynne Anderson, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 S Clay St Ste 104, Ennis, TX 75119 Phone: 972-875-6600 Fax: 877-460-4501 |