Mrs Kristie Lyn Haalck, AGAC-NP - Medicare Nurse Practitioner in Petoskey, MI

Mrs Kristie Lyn Haalck, AGAC-NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Petoskey, Michigan. Her current practice location is 560 W Mitchell St Ste 125, Petoskey, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 487-4029.

Mrs Kristie Lyn Haalck is licensed to practice in Michigan (license number 4704299670NSA230K7) 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 1104693555.

Contact Information

Mrs Kristie Lyn Haalck, AGAC-NP
560 W Mitchell St Ste 125,
Petoskey, MI 49770-2276
(231) 487-4029
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kristie Lyn Haalck
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location560 W Mitchell St Ste 125, Petoskey, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104693555
  • Provider Enumeration Date: 12/06/2023
  • Last Update Date: 12/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486005691
  • Enrollment ID: I20240111002298

Medical Identifiers

Medical identifiers for Mrs Kristie Lyn Haalck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104693555NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 4704299670NSA230K7 (Michigan)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 Kristie Lyn Haalck allows following entities to bill medicare on her behalf.
Entity NameMclaren Central Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266063
PECOS PAC ID: 6103733092
Enrollment ID: O20040309000447

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 Kristie Lyn Haalck 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 AddressPractice Location Address
Mrs Kristie Lyn Haalck, AGAC-NP
204 Lakewood Ct,
Petoskey, MI 49770-8736

Ph: (231) 758-4059
Mrs Kristie Lyn Haalck, AGAC-NP
560 W Mitchell St Ste 125,
Petoskey, MI 49770-2276

Ph: (231) 487-4029

Reviews and Comments


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Timothy Robert La Gasse, NP
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Phone: 231-487-2460    Fax: 231-487-5965
Jason Moyns,
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Phone: 231-487-5400    
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Practice Location: 116 W Mitchell St, Petoskey, MI 49770
Phone: 586-531-0453    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.