Jillian E Haney, CRNP in Bel Air, MD - Medicare Nurse Practitioner

Jillian E Haney, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Bel Air, Maryland. Her current practice location is 208 Plumtree Rd Ste C, Bel Air, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 420-9836.

Jillian E Haney is licensed to practice in Maryland (license number R175103) 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 1710505524.

Contact Information

	Jillian E Haney, CRNP
	208 Plumtree Rd Ste C, Bel Air, MD 21015-6058
	(410) 420-9836
	Not Available

Map and Direction

Provider's Profile

Full Name	Jillian E Haney
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	208 Plumtree Rd Ste C, Bel Air, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710505524
Provider Enumeration Date: 07/08/2020
Last Update Date: 07/08/2020

Medicare PECOS Information:

PECOS PAC ID: 0749606887
Enrollment ID: I20200819002490

Medical Identifiers

Medical identifiers for Jillian E Haney such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710505524	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	R175103 (Maryland)	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. Jillian E Haney allows following entities to bill medicare on her behalf.

Entity Name	Sinnarajah Raguraj
Entity Type	Practitioner - Internal Medicine
Entity Identifiers	NPI Number: 1578584405 PECOS PAC ID: 4688576408 Enrollment ID: I20040122000881

Entity Name	Personic Virtual Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740878420 PECOS PAC ID: 8729496849 Enrollment ID: O20221020001991

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. Jillian E Haney 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
Jillian E Haney, CRNP 208 Plumtree Rd Ste C, Bel Air, MD 21015-6058 Ph: (410) 420-9836	Jillian E Haney, CRNP 208 Plumtree Rd Ste C, Bel Air, MD 21015-6058 Ph: (410) 420-9836

Reviews and Comments

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Jillian E Haney, CRNP - Medicare Nurse Practitioner in Bel Air, MD