Mrs Mary Lydia Hall, AGPCNP in Brandon, MS - Medicare Nurse Practitioner

Mrs Mary Lydia Hall, AGPCNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Brandon, Mississippi. Her current practice location is 501 Avalon Way Ste C, Brandon, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 573-7012.

Mrs Mary Lydia Hall is licensed to practice in Mississippi (license number 903270) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902366495.

Contact Information

	Mrs Mary Lydia Hall, AGPCNP
	501 Avalon Way Ste C, Brandon, MS 39047-7500
	(601) 573-7012
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mary Lydia Hall
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	501 Avalon Way Ste C, Brandon, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902366495
Provider Enumeration Date: 03/21/2019
Last Update Date: 06/11/2019

Medicare PECOS Information:

PECOS PAC ID: 0840315479
Enrollment ID: I20200813003277

Medical Identifiers

Medical identifiers for Mrs Mary Lydia Hall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902366495	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	903270 (Mississippi)	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. Mrs Mary Lydia Hall allows following entities to bill medicare on her behalf.

Entity Name	Southern Medical Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215396577 PECOS PAC ID: 9830496314 Enrollment ID: O20160329000043

Entity Name	Community Care Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556

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 Mary Lydia 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
Mrs Mary Lydia Hall, AGPCNP 911 Cedar Hill Dr, Clinton, MS 39056-3701 Ph: (601) 594-6335	Mrs Mary Lydia Hall, AGPCNP 501 Avalon Way Ste C, Brandon, MS 39047-7500 Ph: (601) 573-7012

Reviews and Comments

Nurse Practitioner Nurses in Brandon, MS

Brandy Nicole Newsome Byrd, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 Marquette Rd, Brandon, MS 39042 Phone: 601-824-0342
Mrs. Brittany Lauren Hall, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1645 W Government St Ste F, Brandon, MS 39042 Phone: 601-829-6600
Donald J Garrett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 762 Highway 468, Brandon, MS 39042 Phone: 601-824-0988 Fax: 601-824-0987
Ladonna Baker Delariva, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3949 Ms-43, Brandon, MS 39047 Phone: 855-712-7627
Mr. Joseph Doyle Jones, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Lake Harbor Rd, Brandon, MS 39047 Phone: 601-259-6979
Kenneth John Risinger, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 E Government St, Brandon, MS 39042 Phone: 903-824-8880
Kelli Jean Huggins, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 408 Pinebrook Cir, Brandon, MS 39047 Phone: 662-739-3576

Mrs Mary Lydia Hall, AGPCNP - Medicare Nurse Practitioner in Brandon, MS