Lillian Elaine Haerr, is a medicare enrolled "Physician Assistant" physician in Kettering, Ohio. Her current practice location is
3535 Southern Blvd Ste 2100, Kettering, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 298-4331.
Lillian Elaine Haerr is licensed to practice in Ohio (license number 50.007891RX) 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 1306553789.
Physician's Profile
Full Name | Lillian Elaine Haerr |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 3535 Southern Blvd Ste 2100, Kettering, Ohio |
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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: 1306553789
- Provider Enumeration Date: 11/03/2022
- Last Update Date: 03/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759749088
- Enrollment ID: I20230620000687
Medical Identifiers
Medical identifiers for Lillian Elaine Haerr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306553789 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0127X | Surgery - Trauma Surgery | APP-000646319 (Ohio) | Secondary |
363A00000X | Physician Assistant | 50.007891RX (Ohio) | Primary |
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. Lillian Elaine Haerr 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 |
Lillian Elaine Haerr, 1320 Camp Hill Way Apt 9, Dayton, OH 45449-3141 Ph: (937) 572-7297 | Lillian Elaine Haerr, 3535 Southern Blvd Ste 2100, Kettering, OH 45429-1221 Ph: (937) 298-4331 |
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