Haley Follbaum, is a medicare enrolled "Physician Assistant" in Woodhaven, Michigan. Her current practice location is
21401 Allen Rd, Woodhaven, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 675-0835.
Haley Follbaum is licensed to practice in Michigan (license number ) 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 1134817828.
Provider's Profile
Full Name | Haley Follbaum |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 21401 Allen Rd, Woodhaven, Michigan |
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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: 1134817828
- Provider Enumeration Date: 05/01/2023
- Last Update Date: 08/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244763548
- Enrollment ID: I20241024003714
Medical Identifiers
Medical identifiers for Haley Follbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134817828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (Michigan) | 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. Haley Follbaum 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 |
Haley Follbaum, 7100 Lakeshore Dr, Newport, MI 48166-9787 Ph: (734) 552-1861 | Haley Follbaum, 21401 Allen Rd, Woodhaven, MI 48183-1665 Ph: (734) 675-0835 |
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