Mary Jean Hall, MEDICAL DOCTOR

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

20379 Issued in WV

Practice address

1000 Mon Health Medical Park Dr
Suite 1100
Morgantown, WV 26505-1104

Phone

(304) 599-1448

Fax

(304) 598-7219

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

West Virginia University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monongalia County General Hospital CompanyGroup PAC ID 9638073380, 241 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024

Merit-based Incentive Payment System (MIPS)

Final score

90.94 of 100Reported as apm

Quality

69.71

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monongalia County General Hospital Company

  dba Mon Health Medical Center

  • Specialist
  • Morgantown, WV
  • NPI 1447673223
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Monongalia County General Hospital Company

  dba Mon Health Medical Center

  • Specialist
  • Morgantown, WV
  • NPI 1447673223

  Hospital

  Care Compare affiliation
• Monongalia County General Hospital Company

  dba Mon Health Medical Center

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1659489631
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1265506448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1615",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265071615",
            "telephone_number": "304-285-3679",
            "fax_number": "304-285-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MON HEALTH MEDICAL PARK DR",
            "address_2": "SUITE 1100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051104",
            "telephone_number": "304-599-1448",
            "fax_number": "304-598-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "20379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001712123",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2004673000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01617603",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Hall
• Cheyenne Hall, PHARMD
• David M Hall, M.D.
• Hailey Michelle Hall, FNP-BC
• Lauren Hall
• Natalie Hall, PHARMD
• Noah Hall, PHARMD
• Samantha Hall, NP-C
• William Lloyd Hall, MEDICAL DOCTOR
• Richard J Ham, M. D.

• Dermatology Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Dermatology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.