Holly Haeberlein, in Bangor, ME - Medicare Nurse Practitioner

Holly Haeberlein, is a medicare enrolled "Dermatology" physician in Bangor, Maine. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Penobscot Valley Dermatology Pa and her current practice location is 90 Ridgewood Dr, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 942-0669.

Holly Haeberlein is licensed to practice in Maine (license number CNP131096) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932537800.

Contact Information

	Holly Haeberlein,
	90 Ridgewood Dr, Bangor, ME 04401-2652
	(207) 942-0669
	(207) 947-3143

Map and Direction

Physician's Profile

Full Name	Holly Haeberlein
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	90 Ridgewood Dr, Bangor, Maine
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Holly Haeberlein graduated from medical school in 2013

NPI Data:

NPI Number: 1932537800
Provider Enumeration Date: 10/31/2013
Last Update Date: 10/31/2013

Medicare PECOS Information:

PECOS PAC ID: 1254563935
Enrollment ID: I20140411000110

Medical Identifiers

Medical identifiers for Holly Haeberlein such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932537800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	CNP131096 (Maine)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Penobscot Valley Dermatology Pa	7315092541	7

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. Holly Haeberlein allows following entities to bill medicare on her behalf.

Entity Name	Penobscot Valley Dermatology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952536880 PECOS PAC ID: 7315092541 Enrollment ID: O20090911000198

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. Holly Haeberlein 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
Holly Haeberlein, 23 Brentwood Ave, Bangor, ME 04401-4201 Ph: (207) 942-0669	Holly Haeberlein, 90 Ridgewood Dr, Bangor, ME 04401-2652 Ph: (207) 942-0669

Reviews and Comments

Dermatology Doctors in Bangor, ME

Dr. Jeffrey Dean Pittis, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143
Dr. Orville Albert Hartford, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143
Robert Wynne Haeberlein Jr., MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 700 Mount Hope Avenue Suite 601, Bangor, ME 04401 Phone: 207-942-4653 Fax: 207-990-4795
Mrs. Faith Miller Whalen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143
Dr. Jaymie Fe Potenciano Panuncialman, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 35 State Hospital Dr, Bangor, ME 04401 Phone: 207-561-3600
William F Gallagher, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1012 Union St, Bangor, ME 04401 Phone: 207-945-5247 Fax: 207-990-1248
Mrs. Samantha Helene Mitchell, FNP-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143

Holly Haeberlein, - Medicare Nurse Practitioner in Bangor, ME