Haley Ann Knutson, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Newport Coast, California. Her current practice location is
1 Veroli Ct, Newport Coast, California. You can reach out to her office (for appointments etc.) via phone at
(951) 218-1624.
Haley Ann Knutson is licensed to practice in California (license number 95016604) 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 1003401399.
Provider's Profile
| Full Name | Haley Ann Knutson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1 Veroli Ct, Newport Coast, California |
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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: 1003401399
- Provider Enumeration Date: 03/08/2021
- Last Update Date: 03/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 7719377977
- Enrollment ID: I20211201002019
Medical Identifiers
Medical identifiers for Haley Ann Knutson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003401399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95016604 (California) | 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 Ann Knutson allows following entities to bill medicare on her behalf.
| Entity Name | Pih Health Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609233899
PECOS PAC ID: 8426951328
Enrollment ID: O20040128001177 |
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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 Ann Knutson 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 Ann Knutson, NP-C
1 Veroli Ct,
Newport Coast, CA 92657-1509
Ph: (951) 218-1624 | Haley Ann Knutson, NP-C
1 Veroli Ct,
Newport Coast, CA 92657-1509
Ph: (951) 218-1624 |
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