Poala D Prude-hall, MD - Medicare Family Medicine in Lansing, MI

Poala D Prude-hall, MD is a medicare enrolled "Family Medicine" physician in Lansing, Michigan. Her current practice location is 505 N Clippert St, Lansing Urgent Care, Lansing, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 333-9200.

Poala D Prude-hall is licensed to practice in Michigan (license number 4301058586) 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 1093889503.

Contact Information

Poala D Prude-hall, MD
505 N Clippert St, Lansing Urgent Care,
Lansing, MI 48912-4701
(517) 333-9200
(517) 333-9201



Physician's Profile

Full NamePoala D Prude-hall
GenderFemale
SpecialityFamily Medicine
Location505 N Clippert St, Lansing, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093889503
  • Provider Enumeration Date: 11/17/2006
  • Last Update Date: 11/15/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0547214215
  • Enrollment ID: I20050304000728

Medical Identifiers

Medical identifiers for Poala D Prude-hall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093889503NPI-NPPES
PP058586OtherCHAMPUS-CHAMPUS
PP058586OtherCOMMERCIAL-COMMERCIAL NUMBER
327176910MedicaidMI
080H262390OtherBLUE CROSS-BLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301058586 (Michigan)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. Poala D Prude-hall allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134144801
PECOS PAC ID: 0547178311
Enrollment ID: O20031105000139

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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. Poala D Prude-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
Poala D Prude-hall, MD
505 North Clippert,
Lansing, MI 48912

Ph: (517) 333-9200
Poala D Prude-hall, MD
505 N Clippert St, Lansing Urgent Care,
Lansing, MI 48912-4701

Ph: (517) 333-9200

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Family Medicine Doctors in Lansing, MI

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Practice Location: Sparrow Health Systems 1215 E Michigan Avenue, Lansing, MI 48912
Phone: 517-364-5710    
Shimia Isaac, D.O.
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Practice Location: 1200 E Michigan Ave, Suite 245, Lansing, MI 48912
Phone: 517-364-5772    
Katrina Anne Weirauch Engle, D.O.
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David Jonathan Pohl, D.O.
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Dr. Harshini A Jayasuriya, M.D.
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Practice Location: 120 N Washington Sq Ste 300, Lansing, MI 48933
Phone: 517-258-0344    Fax: 517-879-0374
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