Jordan E Haire, is a medicare enrolled "Counselor - Mental Health" provider in Neah Bay, Washington. Her current practice location is
100 Wellness Way, 410, Neah Bay, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 645-3010.
Jordan E Haire is licensed to practice in Washington (license number LH60728422) 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 1780129064.
Healthcare Provider's Profile
| Full Name | Jordan E Haire |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 100 Wellness Way, Neah Bay, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1780129064
- Provider Enumeration Date: 12/22/2016
- Last Update Date: 12/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 4789125360
- Enrollment ID: I20240923003412
Medical Identifiers
Medical identifiers for Jordan E Haire such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780129064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | C.1200640 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | LH60728422 (Washington) | 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. Jordan E Haire allows following entities to bill medicare on her behalf.
| Entity Name | Sirona Mental Wellness, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437840808
PECOS PAC ID: 9234670811
Enrollment ID: O20240923003320 |
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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. Jordan E Haire 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 |
|---|
Jordan E Haire,
474 N Yellow Springs St,
Springfield, OH 45504-2463
Ph: (937) 399-9500 | Jordan E Haire,
100 Wellness Way, 410,
Neah Bay, WA 98357-9835
Ph: (360) 645-3010 |
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