Frederick R Haller, MD is a
Internal Medicine physician based in Kellogg, Idaho. Frederick R Haller is licensed to practice in Idaho (license number M3559) and his current practice location is 740 Mckinley Ave, Kellogg, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 783-1267.
NPI number for Frederick R Haller is 1396797726 and his current mailing address is 740 Mckinley Ave, Kellogg, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396797726.
Physician's Profile
Full Name | Frederick R Haller |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 740 Mckinley Ave, Kellogg, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396797726
- Provider Enumeration Date: 05/16/2006
- Last Update Date: 08/19/2011
Medical Identifiers
Medical identifiers for Frederick R Haller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396797726 | NPI | - | NPPES |
1185830001 | Other | ID | MEDICARE DMERC |
080089993 | Other | ID | RAILROAD MEDICARE |
002790400 | Medicaid | ID | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | M3559 (Idaho) | Primary |
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. Frederick R Haller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Frederick R Haller, MD 740 Mckinley Ave, Kellogg, ID 83837-2523 Ph: (208) 783-1267 | Frederick R Haller, MD 740 Mckinley Ave, Kellogg, ID 83837-2523 Ph: (208) 783-1267 |
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