Haley Clarke Cox, LD is a medicare enrolled "Dietitian, Registered" provider in Hahira, Georgia. Her current practice location is
4808 Springbrook Dr, Hahira, Georgia. You can reach out to her office (for appointments etc.) via phone at
(229) 292-1945.
Haley Clarke Cox is licensed to practice in Georgia (license number LD004390) 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 1699420729.
Healthcare Provider's Profile
| Full Name | Haley Clarke Cox |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 4808 Springbrook Dr, Hahira, Georgia |
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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: 1699420729
- Provider Enumeration Date: 02/17/2022
- Last Update Date: 02/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 2961896352
- Enrollment ID: I20220301001301
Medical Identifiers
Medical identifiers for Haley Clarke Cox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699420729 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | LD004390 (Georgia) | 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. Haley Clarke Cox allows following entities to bill medicare on her behalf.
| Provider Name | Erin Brantley Haskins |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1457749087
PECOS PAC ID: 7618204637
Enrollment ID: O20190813002064 |
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| Provider Name | Coastal Nutrition Consulting Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1831962273
PECOS PAC ID: 1456795939
Enrollment ID: O20240223001304 |
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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. Haley Clarke Cox 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 |
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Haley Clarke Cox, LD
4808 Springbrook Dr,
Hahira, GA 31632-3102
Ph: (229) 292-1945 | Haley Clarke Cox, LD
4808 Springbrook Dr,
Hahira, GA 31632-3102
Ph: (229) 292-1945 |
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