Teresa Michelle Haynes, PSYCHOLOGIST is a medicare enrolled "Psychologist - Clinical" provider in Leadville, Colorado. Her current practice location is
Leadville Professional Building, 735 Hwy 24 South, Suite B, Leadville, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 389-0621.
Teresa Michelle Haynes is licensed to practice in Colorado (license number PSY.0003956) 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 1467481309.
Healthcare Provider's Profile
Full Name | Teresa Michelle Haynes |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | Leadville Professional Building, Leadville, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467481309
- Provider Enumeration Date: 07/02/2006
- Last Update Date: 05/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092157701
- Enrollment ID: I20240528000807
Medical Identifiers
Medical identifiers for Teresa Michelle Haynes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467481309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 4020 (Colorado) | Secondary |
103T00000X | Psychologist | 3965 (Colorado) | Secondary |
103TC0700X | Psychologist - Clinical | PSY.0003956 (Colorado) | Primary |
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. Teresa Michelle Haynes 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 |
Teresa Michelle Haynes, PSYCHOLOGIST Po Box 1989, Leadville, CO 80461-1989 Ph: (970) 389-0621 | Teresa Michelle Haynes, PSYCHOLOGIST Leadville Professional Building, 735 Hwy 24 South, Suite B, Leadville, CO 80461 Ph: (970) 389-0621 |
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