Julie Kay Haggerty, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ellisville, Illinois. Her current practice location is
8985 E State Highway 9, Ellisville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 293-2605.
Julie Kay Haggerty is licensed to practice in Illinois (license number 209007867) 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 1790014520.
Provider's Profile
Full Name | Julie Kay Haggerty |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 8985 E State Highway 9, Ellisville, Illinois |
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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: 1790014520
- Provider Enumeration Date: 12/07/2009
- Last Update Date: 12/07/2009
Medicare PECOS Information:
- PECOS PAC ID: 2365751526
- Enrollment ID: I20151029000730
Medical Identifiers
Medical identifiers for Julie Kay Haggerty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790014520 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209007867 (Illinois) | 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. Julie Kay Haggerty allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
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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. Julie Kay Haggerty 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 |
Julie Kay Haggerty, APN 8985 E State Highway 9, Ellisville, IL 61431-9542 Ph: (309) 293-2605 | Julie Kay Haggerty, APN 8985 E State Highway 9, Ellisville, IL 61431-9542 Ph: (309) 293-2605 |
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