Haylie Priscilla Genoa, is a medicare enrolled "Dentist" provider in Porter, Maine. Her current practice location is
70 Main St, Porter, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 625-2267.
Haylie Priscilla Genoa is licensed to practice in Maine (license number DEN4901) 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 1144891482.
Healthcare Provider's Profile
Full Name | Haylie Priscilla Genoa |
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Gender | Female |
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Speciality | Dentist |
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Location | 70 Main St, Porter, Maine |
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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: 1144891482
- Provider Enumeration Date: 07/07/2021
- Last Update Date: 02/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315344272
- Enrollment ID: I20210921001057
Medical Identifiers
Medical identifiers for Haylie Priscilla Genoa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144891482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DEN4901 (Maine) | 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. Haylie Priscilla Genoa allows following entities to bill medicare on her behalf.
Entity Name | Sacopee Valley Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952470411 PECOS PAC ID: 5597664854 Enrollment ID: O20040106000228 |
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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. Haylie Priscilla Genoa 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 |
Haylie Priscilla Genoa, 70 Main St, Porter, ME 04068-3527 Ph: (207) 625-8126 | Haylie Priscilla Genoa, 70 Main St, Porter, ME 04068-3527 Ph: (207) 625-2267 |
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