Mrs Jayda Haley, CNM/WHNP is a medicare enrolled "Advanced Practice Midwife" in Hermitage, Tennessee. Her current practice location is
5651 Frist Blvd Ste 500, Hermitage, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 874-8006.
Mrs Jayda Haley is licensed to practice in Tennessee (license number 36146) 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 1912682956.
Provider's Profile
| Full Name | Mrs Jayda Haley |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 5651 Frist Blvd Ste 500, Hermitage, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912682956
- Provider Enumeration Date: 06/19/2023
- Last Update Date: 09/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597128694
- Enrollment ID: I20230822003242
Medical Identifiers
Medical identifiers for Mrs Jayda Haley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912682956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 36146 (Tennessee) | Primary |
| 367A00000X | Advanced Practice Midwife | 0100703 (Colorado) | Secondary |
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 Jayda Haley allows following entities to bill medicare on her behalf.
| Entity Name | Parkview Ancillary Services Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982878765
PECOS PAC ID: 4385722511
Enrollment ID: O20080429000248 |
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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. Mrs Jayda Haley 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 Jayda Haley, CNM/WHNP
329 Martin Ln,
Cottontown, TN 37048-4616
Ph: () - | Mrs Jayda Haley, CNM/WHNP
5651 Frist Blvd Ste 500,
Hermitage, TN 37076-2059
Ph: (615) 874-8006 |
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