Mrs Haley Justine Fish, FNP - Medicare Nurse Practitioner in Richford, NY

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Mrs Haley Justine Fish, FNP is a medicare enrolled "Nurse Practitioner - Family" in Richford, New York. Her current practice location is 13293 State Route 38, Richford, New York. You can reach out to her office (for appointments etc.) via phone at (607) 657-8521.

Mrs Haley Justine Fish is licensed to practice in New York (license number F342058-1) 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 1740706662.

Contact Information

Mrs Haley Justine Fish, FNP
13293 State Route 38,
Richford, NY 13835
(607) 657-8521
(607) 657-8006

Map and Direction




Provider's Profile

Full NameMrs Haley Justine Fish
GenderFemale
SpecialityNurse Practitioner - Family
Location13293 State Route 38, Richford, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740706662
  • Provider Enumeration Date: 08/22/2017
  • Last Update Date: 09/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5991064974
  • Enrollment ID: I20180119001815

Medical Identifiers

Medical identifiers for Mrs Haley Justine Fish such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740706662NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F342058-1 (New York)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. Mrs Haley Justine Fish allows following entities to bill medicare on her behalf.
Entity NameOur Lady Of Lourdes Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629087580
PECOS PAC ID: 1254237779
Enrollment ID: O20031208000366
Entity NameCayuga Medical Center At Ithaca
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164547303
PECOS PAC ID: 7214847367
Enrollment ID: O20050304000341

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. Mrs Haley Justine Fish 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 AddressPractice Location Address
Mrs Haley Justine Fish, FNP
13293 State Route 38,
Richford, NY 13835

Ph: (607) 657-8521		Mrs Haley Justine Fish, FNP
13293 State Route 38,
Richford, NY 13835

Ph: (607) 657-8521

Reviews and Comments


Nurse Practitioner Nurses in Richford, NY

Lynn M Verduin, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13293 Route 38, Richford, NY 13835
Phone: 607-657-8521    Fax: 607-657-8006

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.