Tina Hall, - Medicare Nurse Practitioner in Mount Vernon, IL

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Tina Hall, is a medicare enrolled "Nurse Practitioner - Family" in Mount Vernon, Illinois. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Divani Dermatology Llc and her current practice location is 4107 S Water Tower Pl, Mount Vernon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 244-0031.

Tina Hall is licensed to practice in Illinois (license number 209.018461) 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 1578039707.

Contact Information

Tina Hall,
4107 S Water Tower Pl,
Mount Vernon, IL 62864-6293
(618) 244-0031
(618) 244-0056

Map and Direction




Provider's Profile

Full NameTina Hall
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location4107 S Water Tower Pl, Mount Vernon, Illinois
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:
  • Tina Hall graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1578039707
  • Provider Enumeration Date: 10/15/2018
  • Last Update Date: 11/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4284970849
  • Enrollment ID: I20240227004509

Medical Identifiers

Medical identifiers for Tina Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578039707NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.018461 (Illinois)Primary
163W00000XRegistered Nurse 041.394076 (Illinois)Secondary
207N00000XDermatology 209018461 (Illinois)Secondary
363L00000XNurse Practitioner 209018461 (Illinois)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Divani Dermatology Llc296173380311

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. Tina Hall allows following entities to bill medicare on her behalf.
Entity NameDivani Dermatology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255986113
PECOS PAC ID: 2961733803
Enrollment ID: O20191008001916

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. Tina 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
Tina Hall,
2253 N Flamingo Ln,
Scheller, IL 62883-3009

Ph: (618) 315-1757		Tina Hall,
4107 S Water Tower Pl,
Mount Vernon, IL 62864-6293

Ph: (618) 244-0031

Reviews and Comments


Nurse Practitioner Nurses in Mount Vernon, IL

Amanda Engele, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5100 Lake Ter Ne Ste Wc, Mount Vernon, IL 62864
Phone: 618-899-5001    
Leslie Wright, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4101 N Water Tower Pl, Mount Vernon, IL 62864
Phone: 618-244-6222    
Fariahh Fazil, FNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864
Phone: 618-899-3980    
Andrea Stearns, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4000 S Water Tower Pl, Mount Vernon, IL 62864
Phone: 618-246-2910    
Nancy K Kertz, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864
Phone: 618-242-4848    Fax: 618-242-4198
Natalie Amason, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4107 S Water Tower Pl, Mount Vernon, IL 62864
Phone: 618-244-0031    Fax: 618-244-0056
Melanie Cross, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864
Phone: 618-242-3778    Fax: 618-242-2551

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.