Dr Andre Haley, PHD, LCDP, LMSW is a medicare enrolled "Social Worker" provider in New Castle, Delaware. His current practice location is
19 Lambson Ln # B-102, New Castle, Delaware. You can reach out to his office (for appointments etc.) via phone at
(302) 337-5513.
Dr Andre Haley is licensed to practice in Delaware (license number Q3-0000164) 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 1962895318.
Healthcare Provider's Profile
| Full Name | Dr Andre Haley |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 19 Lambson Ln # B-102, New Castle, Delaware |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1962895318
- Provider Enumeration Date: 03/10/2015
- Last Update Date: 08/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961896683
- Enrollment ID: I20240521003286
Medical Identifiers
Medical identifiers for Dr Andre Haley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962895318 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CD-0000100 (Delaware) | Secondary |
| 103K00000X | Behavior Analyst | BH004301 (Pennsylvania) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1460 (Delaware) | Secondary |
| 104100000X | Social Worker | Q3-0000164 (Delaware) | 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. Dr Andre Haley allows following entities to bill medicare on his behalf.
| Entity Name | Avh Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1104498419
PECOS PAC ID: 4082157250
Enrollment ID: O20240615000306 |
|---|
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. Dr Andre Haley 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 |
|---|
Dr Andre Haley, PHD, LCDP, LMSW
3113 N Van Buren St,
Wilmington, DE 19802-2939
Ph: (302) 563-8399 | Dr Andre Haley, PHD, LCDP, LMSW
19 Lambson Ln # B-102,
New Castle, DE 19720-2118
Ph: (302) 337-5513 |
Reviews and Comments