Jessica L Haase, MSN, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Collyer, Kansas. Her current practice location is
317 Ainslie Ave, Collyer, Kansas. You can reach out to her office (for appointments etc.) via phone at
(785) 657-0138.
Jessica L Haase is licensed to practice in Kansas (license number 5381985082) 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 1851090526.
Provider's Profile
Full Name | Jessica L Haase |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 317 Ainslie Ave, Collyer, Kansas |
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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: 1851090526
- Provider Enumeration Date: 03/01/2023
- Last Update Date: 03/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880068667
- Enrollment ID: I20230317000476
Medical Identifiers
Medical identifiers for Jessica L Haase such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851090526 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5381985082 (Kansas) | 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. Jessica L Haase allows following entities to bill medicare on her behalf.
Entity Name | Four County Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841290251 PECOS PAC ID: 7012904071 Enrollment ID: O20040430000887 |
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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. Jessica L Haase 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 |
Jessica L Haase, MSN, APRN, PMHNP-BC Po Box 205, Collyer, KS 67631-0205 Ph: (913) 742-3796 | Jessica L Haase, MSN, APRN, PMHNP-BC 317 Ainslie Ave, Collyer, KS 67631-9701 Ph: (785) 657-0138 |
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