Lydia Jean Haker, is a medicare enrolled "Psychologist - Clinical" provider in De Pere, Wisconsin. She graduated from healthcare school in 2023 and has 2 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice County Of Door-door County Library and her current practice location is
1118 Twilight Dr, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 966-3596.
Lydia Jean Haker is licensed to practice in Wisconsin (license number 5213-17) 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 1245759190.
Healthcare Provider's Profile
| Full Name | Lydia Jean Haker |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 2 Years |
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| Location | 1118 Twilight Dr, De Pere, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lydia Jean Haker graduated from medical school in 2023
NPI Data:
- NPI Number: 1245759190
- Provider Enumeration Date: 09/12/2017
- Last Update Date: 06/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688027600
- Enrollment ID: I20240718003947
Medical Identifiers
Medical identifiers for Lydia Jean Haker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245759190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 3537-226 (Wisconsin) | Secondary |
| 103TC0700X | Psychologist - Clinical | 5213-17 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| County Of Door-door County Library | 2062434194 | 6 |
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. Lydia Jean Haker allows following entities to bill medicare on her behalf.
| Entity Name | County Of Door-door County Library |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245265693
PECOS PAC ID: 2062434194
Enrollment ID: O20060103000615 |
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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. Lydia Jean Haker 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 |
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Lydia Jean Haker,
611 Butler St,
De Pere, WI 54115-1203
Ph: () - | Lydia Jean Haker,
1118 Twilight Dr,
De Pere, WI 54115-1372
Ph: (715) 966-3596 |
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