Dr Colin M Haley, DDS in Blue Island, IL - Medicare Dentist Provider

Dr Colin M Haley, DDS is a medicare enrolled "Dentist - General Practice" provider in Blue Island, Illinois. His current practice location is 12200 Western Ave, Suite 108, Blue Island, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 385-3700.

Dr Colin M Haley is licensed to practice in Illinois (license number 01927330) 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 1487846234.

Contact Information

	Dr Colin M Haley, DDS
	12200 Western Ave, Suite 108, Blue Island, IL 60406-1398
	(708) 385-3700
	(708) 385-3707

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Colin M Haley
Gender	Male
Speciality	Dentist - General Practice
Location	12200 Western Ave, Blue Island, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487846234
Provider Enumeration Date: 08/15/2007
Last Update Date: 08/15/2007

Medicare PECOS Information:

PECOS PAC ID: 5294133138
Enrollment ID: I20211007001948

Medical Identifiers

Medical identifiers for Dr Colin M Haley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487846234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	01927330 (Illinois)	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 Colin M Haley allows following entities to bill medicare on his behalf.

Entity Name	Howard Brown Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306048632 PECOS PAC ID: 1052203155 Enrollment ID: O20040325000526

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 Colin M 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 Colin M Haley, DDS 430 W Erie St, Ste 500, Chicago, IL 60610-6914 Ph: () -	Dr Colin M Haley, DDS 12200 Western Ave, Suite 108, Blue Island, IL 60406-1398 Ph: (708) 385-3700

Reviews and Comments

Dentist in Blue Island, IL

Ms. Jessica Kathryn Sargeson, Dentist Medicare: Not Enrolled in Medicare Practice Location: 12200 Western Ave Ste 108, Blue Island, IL 60406 Phone: 708-385-3700
Dr. Junho Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12200 Western Ave Ste 108, Blue Island, IL 60406 Phone: 708-385-3700 Fax: 708-385-3707
Dr. Kristin Marie Andrews, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 12200 Western Ave, Blue Island, IL 60406 Phone: 708-385-3700
Dr. Mark William Anderson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2320 Walnut St, Blue Island, IL 60406 Phone: 708-371-3311 Fax: 708-371-7963
Dr. Darlene Jo Buis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12200 Western Ave, #108, Blue Island, IL 60406 Phone: 708-385-3700 Fax: 708-385-3707
Dr. John Szydelko, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12059 Western Ave, Blue Island, IL 60406 Phone: 708-371-3844 Fax: 708-371-0059
Dr. Laurie Sue Gordon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2310 York St, 4b, Blue Island, IL 60406 Phone: 708-388-0001 Fax: 708-388-7612

Dr Colin M Haley, DDS - Medicare Dentist in Blue Island, IL