Michael M Hall, MD

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

MD036517E Issued in PA

Practice address

145 Hospital Ave
Ste 104
Du Bois, PA 15801-1463

Phone

(814) 375-8055

Fax

(814) 375-8056

NPI assigned

Jun 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

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

Preventive MedicineAlso: Addiction Medicine

Education

State University of Ny Upstate Medical University, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cen Clear Child Services IncGroup PAC ID 9436258860, 38 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.6 of 100Reported as group

Promoting interoperability

96

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Cen Clear Child Services, Inc.

  • Mental Health Counselor
  • Philipsburg, PA
  • NPI 1841289733
  Medicare reassignment Care Compare group NPD
• Brookville Hospital

  • Family Medicine Physician
  • Brookville, PA
  • NPI 1568400026
  Medicare reassignment NPD
• Brookville Hospital

  • Multi-Specialty Clinic/Center
  • Brookville, PA
  • NPI 1578733093

  Family Medicine

  Medicare reassignment NPD
• Caring Healthcare Network Bedford, LLC

  • Pain Clinic/Center
  • Everett, PA
  • NPI 1144027384
  Medicare reassignment NPD
• Elk Regional Health Center

  • Multi-Specialty Clinic/Center
  • Emporium, PA
  • NPI 1952554602

  Family Medicine

  Medicare reassignment NPD
• Tyrone Hospital

  • Rural Health Clinic/Center
  • Tyrone, PA
  • NPI 1922429133
  Medicare reassignment NPD
• Brookville Hospital

  • Rural Health Clinic/Center
  • Brookville, PA
  • NPI 1184333742

  Family Medicine

  NPD
• Elk Regional Health Center

  • Long Term Care Pharmacy
  • Saint Marys, PA
  • NPI 1790570067
  NPD
• Tyrone Hospital

  • Otolaryngology Physician
  • Tyrone, PA
  • NPI 1760807416
  NPD
• Cen Clear Child Services

  • Community Health Clinic/Center
  • Philipsburg, PA
  • NPI 1164952677
  NPD (past)
• Dubois Regional Medical Center

  • General Acute Care Hospital
  • Du Bois, PA
  • NPI 1144249657
  NPD (past)
• Elk Regional Health Center

  • General Acute Care Hospital
  • Saint Marys, PA
  • NPI 1437396348
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1780688366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-6560",
            "fax_number": "814-372-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE",
            "address_2": "STE 104",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011463",
            "telephone_number": "814-375-8055",
            "fax_number": "814-375-8056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "761 Johnsonburg Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "PA",
            "postal_code": "158573480",
            "country_code": "US",
            "telephone_number": "814-375-8055",
            "fax_number": "814-375-8056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 River Rd",
            "address_purpose": "LOCATION",
            "city": "Clearfield",
            "state": "PA",
            "postal_code": "168306026",
            "country_code": "US",
            "telephone_number": "814-375-8055",
            "fax_number": "814-375-8056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "635 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "DuBois",
            "state": "PA",
            "postal_code": "158012376",
            "country_code": "US",
            "telephone_number": "814-375-8055",
            "fax_number": "814-375-8056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD036517E",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD036517E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001132739",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC PTAN",
            "identifier": "591707Q09",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC PTAN",
            "identifier": "852695FFU",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Haag, MA
• Jessica Haduck, PA-C
• Danielle Justine Haines
• Whitney Claire Haley, CRNA
• Christopher Paul Hall, D.O.
• Trudy Hallowell, RN
• Laun Hallstrom
• Michelle R Hallstrom, CRNP
• Marie Adaline Hamaker, B. S., L. P. N.
• Ralph E. Hamby Jr., CRNA

• Addiction Medicine (Family Medicine) Physician in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Addiction Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.