Nicole Loraine Hall, is a medicare enrolled "Internal Medicine" in Suwanee, Georgia. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice The Emory Clinic Inc and her current practice location is
356 Roberts Run Cv, Suwanee, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 495-1001.
Nicole Loraine Hall is licensed to practice in Georgia (license number 10398) 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 1174297873.
Provider's Profile
| Full Name | Nicole Loraine Hall |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 356 Roberts Run Cv, Suwanee, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Loraine Hall graduated from nursing school in 2021
NPI Data:
- NPI Number: 1174297873
- Provider Enumeration Date: 08/05/2021
- Last Update Date: 04/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557722006
- Enrollment ID: I20230731002131
Medical Identifiers
Medical identifiers for Nicole Loraine Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174297873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 10398 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Emory Clinic Inc | 8820901408 | 3084 |
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. Nicole Loraine 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 |
|---|
Nicole Loraine Hall,
356 Roberts Run Cv,
Suwanee, GA 30024-3701
Ph: (706) 495-1001 | Nicole Loraine Hall,
356 Roberts Run Cv,
Suwanee, GA 30024-3701
Ph: (706) 495-1001 |
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