Gayle Jenienne Haas, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist" provider in Coolidge, Arizona. Her current practice location is
1491 N Arizona Blvd Ste 109, Coolidge, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 424-2222.
Gayle Jenienne Haas is licensed to practice in Arizona (license number 1817) 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 1669297537.
Healthcare Provider's Profile
Full Name | Gayle Jenienne Haas |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 1491 N Arizona Blvd Ste 109, Coolidge, Arizona |
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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: 1669297537
- Provider Enumeration Date: 11/18/2024
- Last Update Date: 11/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486180080
- Enrollment ID: I20241205003644
Medical Identifiers
Medical identifiers for Gayle Jenienne Haas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669297537 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 1817 (Arizona) | 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. Gayle Jenienne Haas allows following entities to bill medicare on her behalf.
Provider Name | Kinect Physical Therapy Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1811265929 PECOS PAC ID: 3476713009 Enrollment ID: O20120319000836 |
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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. Gayle Jenienne Haas 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 |
Gayle Jenienne Haas, PHYSICAL THERAPIST 1068 W Elm Ave, Coolidge, AZ 85128-3885 Ph: (480) 678-0517 | Gayle Jenienne Haas, PHYSICAL THERAPIST 1491 N Arizona Blvd Ste 109, Coolidge, AZ 85128-3261 Ph: (520) 424-2222 |
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