Mr Stephan Haaquist, in Rochester, NY - Medicare Nurse Practitioner

Mr Stephan Haaquist, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rochester, New York. His current practice location is 100 Pinewild Dr Ste 2a, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at (585) 368-6700.

Mr Stephan Haaquist is licensed to practice in New York (license number 405724) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194418202.

Contact Information

	Mr Stephan Haaquist,
	100 Pinewild Dr Ste 2a, Rochester, NY 14606-4200
	(585) 368-6700
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Stephan Haaquist
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	100 Pinewild Dr Ste 2a, Rochester, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194418202
Provider Enumeration Date: 06/02/2023
Last Update Date: 08/13/2024

Medicare PECOS Information:

PECOS PAC ID: 7012370349
Enrollment ID: I20230901003401

Medical Identifiers

Medical identifiers for Mr Stephan Haaquist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194418202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	221782 (Tennessee)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	34381 (Tennessee)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	405724 (New York)	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. Mr Stephan Haaquist allows following entities to bill medicare on his behalf.

Entity Name	Helen Ross Mcnabb Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659330686 PECOS PAC ID: 1658278809 Enrollment ID: O20031216000338

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. Mr Stephan Haaquist 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
Mr Stephan Haaquist, 100 Kings Hwy S, Rochester, NY 14617-5504 Ph: () -	Mr Stephan Haaquist, 100 Pinewild Dr Ste 2a, Rochester, NY 14606-4200 Ph: (585) 368-6700

Reviews and Comments

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Mr Stephan Haaquist, - Medicare Nurse Practitioner in Rochester, NY