Haley Mildred Bomal, in Englewood, CO - Medicare Nurse Practitioner

Haley Mildred Bomal, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Englewood, Colorado. Her current practice location is 3470 S Sherman St Ste 3, Englewood, Colorado. You can reach out to her office (for appointments etc.) via phone at (978) 727-4882.

Haley Mildred Bomal is licensed to practice in Colorado (license number 0999566) 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 1376302315.

Contact Information

	Haley Mildred Bomal,
	3470 S Sherman St Ste 3, Englewood, CO 80113-2663
	(978) 727-4882
	Not Available

Map and Direction

Provider's Profile

Full Name	Haley Mildred Bomal
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3470 S Sherman St Ste 3, Englewood, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376302315
Provider Enumeration Date: 03/13/2024
Last Update Date: 08/22/2024

Medicare PECOS Information:

PECOS PAC ID: 5193162154
Enrollment ID: I20240326002257

Medical Identifiers

Medical identifiers for Haley Mildred Bomal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376302315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0999566 (Colorado)	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 Mildred Bomal allows following entities to bill medicare on her behalf.

Entity Name	Balanced Mental Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831797844 PECOS PAC ID: 1759756364 Enrollment ID: O20230413001274

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 Mildred Bomal 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 Mildred Bomal, 3470 S Sherman St Ste 3, Englewood, CO 80113-2663 Ph: () -	Haley Mildred Bomal, 3470 S Sherman St Ste 3, Englewood, CO 80113-2663 Ph: (978) 727-4882

Reviews and Comments

Nurse Practitioner Nurses in Englewood, CO

Demara Simpson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10333 E Dry Creek Rd Ste 350, Englewood, CO 80112 Phone: 303-222-5300
Victoria Segro, MSN NP NURSE PRACTIO Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 E Hampden Ave, Suite 510, Englewood, CO 80113 Phone: 303-357-5455 Fax: 303-357-5459
Ms. Janet Ruth Dubrick, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 E Hampden Ave, S 5556, Englewood, CO 80113 Phone: 303-788-6515
Christine Joann Krimbill, MSN, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3701 S Broadway, Englewood, CO 80113 Phone: 303-761-1977
Katherine D Freeman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 499 E Hampden Ave Ste 400, Englewood, CO 80113 Phone: 303-788-8989 Fax: 303-788-8982
Krislyn N Miller, DO Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 E Hampden Ave Ste 220, Englewood, CO 80113 Phone: 303-788-5084
Margaret Middelstadt, DNP/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 799 E Hampden Ave Ste 430, Englewood, CO 80113 Phone: 303-733-8848

Haley Mildred Bomal, - Medicare Nurse Practitioner in Englewood, CO