Carolyn A Haerr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fitchburg, Wisconsin. Her current practice location is
5680 Whalen Rd, Fitchburg, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 215-4443.
Carolyn A Haerr is licensed to practice in Wisconsin (license number 43687) 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 1033188032.
Physician's Profile
| Full Name | Carolyn A Haerr |
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| Gender | Female |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 5680 Whalen Rd, Fitchburg, Wisconsin |
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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: 1033188032
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 07/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 7517954316
- Enrollment ID: I20040426000917
Medical Identifiers
Medical identifiers for Carolyn A Haerr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033188032 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 43687 (Wisconsin) | 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. Carolyn A Haerr allows following entities to bill medicare on her behalf.
| Entity Name | Group Health Cooperative Of South Central Wisconsin |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306 |
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| Entity Name | Fort Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411 |
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| Entity Name | Richland Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20110318000356 |
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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. Carolyn A Haerr 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 |
Carolyn A Haerr, MD 5680 Whalen Rd, Fitchburg, WI 53575-1934 Ph: () - | Carolyn A Haerr, MD 5680 Whalen Rd, Fitchburg, WI 53575-1934 Ph: (608) 215-4443 |
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