Dr Susan Moore Haefner, MD in Flagstaff, AZ

Dr Susan Moore Haefner, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Flagstaff, Arizona. Her current practice location is 1200 N Beaver St, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 773-2120.

Dr Susan Moore Haefner is licensed to practice in Arizona (license number 27097) 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 1912948530.

Contact Information

	Dr Susan Moore Haefner, MD
	1200 N Beaver St, Flagstaff, AZ 86001-3118
	(928) 773-2120
	(928) 213-2189

Map and Direction

Physician's Profile

Full Name	Dr Susan Moore Haefner
Gender	Female
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	1200 N Beaver St, Flagstaff, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912948530
Provider Enumeration Date: 06/08/2006
Last Update Date: 12/18/2015

Medicare PECOS Information:

PECOS PAC ID: 2567448467
Enrollment ID: I20190404001689

Medical Identifiers

Medical identifiers for Dr Susan Moore Haefner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912948530	NPI	-	NPPES
705347	Medicaid	AZ
152394601	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	L4961 (Texas)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	27097 (Arizona)	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 Susan Moore Haefner allows following entities to bill medicare on her behalf.

Entity Name	Magella Medical Associates Billing Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083631071 PECOS PAC ID: 8729970215 Enrollment ID: O20041115001144

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 Susan Moore Haefner 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 Susan Moore Haefner, MD 1200 N Beaver St, Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 773-2559	Dr Susan Moore Haefner, MD 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 773-2120

Reviews and Comments

Pediatrics Doctors in Flagstaff, AZ

James Wallace Mathewson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1330 N Rim Dr, Suite A, Flagstaff, AZ 86001 Phone: 928-779-7014
Barbara L. Bosch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001 Phone: 928-214-3600 Fax: 928-214-3601
Lee B Mcgarey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001 Phone: 928-214-3600 Fax: 928-214-3601
Mark F Carroll, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1215 N Beaver St, Suite 201, Flagstaff, AZ 86001 Phone: 928-214-3920 Fax: 928-214-3924
Dr. Julia Beth Eskuchen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-213-6100 Fax: 928-213-9351
Ron L Tuckman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001 Phone: 928-214-3600 Fax: 928-214-3601
Dr. Jennifer Ekdahl Cortes, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-522-9400

Dr Susan Moore Haefner, MD - Medicare Pediatrics in Flagstaff, AZ