Haley Carlock, DNP, PMHNP-BC - Medicare Nurse Practitioner in St Louis Park, MN

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Haley Carlock, DNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in St Louis Park, Minnesota. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Healthwise Psychology Pa and her current practice location is 1155 Ford Rd, Suite B, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 378-1800.

Haley Carlock is licensed to practice in Minnesota (license number CNP 4630) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013364199.

Contact Information

Haley Carlock, DNP, PMHNP-BC
1155 Ford Rd, Suite B,
St Louis Park, MN 55426-1099
(952) 378-1800
(952) 378-1714

Map and Direction




Provider's Profile

Full NameHaley Carlock
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1155 Ford Rd, St Louis Park, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Haley Carlock graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1013364199
  • Provider Enumeration Date: 05/19/2016
  • Last Update Date: 04/26/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5991093635
  • Enrollment ID: I20161012000310

Medical Identifiers

Medical identifiers for Haley Carlock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013364199NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health CNP 4630 (Minnesota)Primary
363L00000XNurse Practitioner R 197063-4 (Minnesota)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthwise Psychology Pa256768564719

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. Haley Carlock allows following entities to bill medicare on her behalf.
Entity NameHealthwise Psychology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184920753
PECOS PAC ID: 2567685647
Enrollment ID: O20140516001784

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. Haley Carlock 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
Haley Carlock, DNP, PMHNP-BC
3100 W Lake St, Suite 210,
Minneapolis, MN 55416-4527

Ph: (612) 925-6033		Haley Carlock, DNP, PMHNP-BC
1155 Ford Rd, Suite B,
St Louis Park, MN 55426-1099

Ph: (952) 378-1800

Reviews and Comments


Nurse Practitioner Nurses in St Louis Park, MN

Camille Ashley Schwarzrock, NP-C
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Phone: 952-993-3230    Fax: 952-993-1748
Rachel Anderson, NP-C
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Anna Melnichuk,
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Oluwasegun Paul David, DNP
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Tiffany Rae Krebsbach,
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Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-3246    

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.

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