Mrs Cynthia L Haacke, FNP-C in Clearfield, UT

Mrs Cynthia L Haacke, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Clearfield, Utah. Her current practice location is 20 W 1700 S, Clearfield, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 416-4474.

Mrs Cynthia L Haacke is licensed to practice in Utah (license number 2043174405) 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 1003803792.

Contact Information

	Mrs Cynthia L Haacke, FNP-C
	20 W 1700 S, Clearfield, UT 84016-6004
	(801) 416-4474
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Cynthia L Haacke
Gender	Female
Speciality	Nurse Practitioner - Family
Location	20 W 1700 S, Clearfield, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003803792
Provider Enumeration Date: 09/29/2005
Last Update Date: 10/26/2015

Medicare PECOS Information:

PECOS PAC ID: 2163732660
Enrollment ID: I20151113000360

Medical Identifiers

Medical identifiers for Mrs Cynthia L Haacke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003803792	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2043174405 (Utah)	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. Mrs Cynthia L Haacke allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Mrs Cynthia L Haacke 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
Mrs Cynthia L Haacke, FNP-C Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 387-6150	Mrs Cynthia L Haacke, FNP-C 20 W 1700 S, Clearfield, UT 84016-6004 Ph: (801) 416-4474

Reviews and Comments

Nurse Practitioner Nurses in Clearfield, UT

Mr. James Edward Fenton Jr., FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 S State St Ste 2, Clearfield, UT 84015 Phone: 385-483-1003 Fax: 386-222-7279
Sara Mollner, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1881 S 650 E, Clearfield, UT 84015 Phone: 435-414-7001
Darryl Hardy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 W 1700 S, Clearfield, UT 84016 Phone: 801-416-4675 Fax: 801-416-4636
Adriana Reid, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 S State St Ste 1007, Clearfield, UT 84015 Phone: 801-334-0030
Mr. Darrin Tuckett, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S State St, Clearfield, UT 84015 Phone: 801-393-5355 Fax: 801-394-4609
Liena M Brady, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 926 W 1700 S, Clearfield, UT 84015 Phone: 801-614-2100 Fax: 801-614-2101

Mrs Cynthia L Haacke, FNP-C - Medicare Nurse Practitioner in Clearfield, UT