Dr Jennifer T Haley, MD is a medicare enrolled "Dermatology" physician in Montrose, Colorado. Her current practice location is
3480 Wolverine Dr, Suite F, Montrose, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 252-7444.
Dr Jennifer T Haley is licensed to practice in Colorado (license number 47465) 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 1275529224.
Physician's Profile
Full Name | Dr Jennifer T Haley |
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Gender | Female |
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Speciality | Dermatology |
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Location | 3480 Wolverine Dr, Montrose, 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: 1275529224
- Provider Enumeration Date: 09/26/2005
- Last Update Date: 04/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 4587718424
- Enrollment ID: I20090812000370
Medical Identifiers
Medical identifiers for Dr Jennifer T Haley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275529224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 47465 (Colorado) | 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 Jennifer T Haley allows following entities to bill medicare on her behalf.
Entity Name | On Site Dermatology Of Colorado Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073856050 PECOS PAC ID: 7315188935 Enrollment ID: O20130724000662 |
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Entity Name | Integrated Dermatology Of Montrose, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831507805 PECOS PAC ID: 7012137995 Enrollment ID: O20140926001064 |
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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. Dr Jennifer T 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 Jennifer T Haley, MD 3780 Wolverine Drive Ste F, Montrose, CO 81401-4965 Ph: (970) 252-7444 | Dr Jennifer T Haley, MD 3480 Wolverine Dr, Suite F, Montrose, CO 81401-4965 Ph: (970) 252-7444 |
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