Matthew Hall, DDS in Syracuse, NY - Medicare Dentist Provider

Matthew Hall, DDS is a medicare enrolled "Dentist" provider in Syracuse, New York. His current practice location is 301 Prospect Ave, Department Of Medical Education, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 448-5469.

Matthew Hall is licensed to practice in New York (license number 042537) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093895625.

Contact Information

	Matthew Hall, DDS
	301 Prospect Ave, Department Of Medical Education, Syracuse, NY 13203-1807
	(315) 448-5469
	(315) 448-6314

Healthcare Provider's Profile

Full Name	Matthew Hall
Gender	Male
Speciality	Dentist
Location	301 Prospect Ave, Syracuse, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093895625
Provider Enumeration Date: 10/17/2006
Last Update Date: 08/11/2011

Medicare PECOS Information:

PECOS PAC ID: 1759551302
Enrollment ID: I20110908002294

Medical Identifiers

Medical identifiers for Matthew Hall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093895625	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	042537 (New York)	Primary

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. Matthew 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
Matthew Hall, DDS 301 Prospect Ave, Department Of Medical Education, Syracuse, NY 13203-1807 Ph: (315) 448-5469	Matthew Hall, DDS 301 Prospect Ave, Department Of Medical Education, Syracuse, NY 13203-1807 Ph: (315) 448-5469

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Matthew Hall, DDS - Medicare Dentist in Syracuse, NY