Haley Burnett, DNP is a medicare enrolled "Nurse Practitioner - Family" physician in Poplar Bluff, Missouri. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dermatology Office Pc and her current practice location is
1600 W Harper St, Poplar Bluff, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 686-4750.
Haley Burnett is licensed to practice in Missouri (license number 2021029674) 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 1811668460.
Physician's Profile
| Full Name | Haley Burnett |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 1600 W Harper St, Poplar Bluff, Missouri |
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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:
- Haley Burnett graduated from medical school in 2021
NPI Data:
- NPI Number: 1811668460
- Provider Enumeration Date: 09/23/2021
- Last Update Date: 09/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426447996
- Enrollment ID: I20211123001117
Medical Identifiers
Medical identifiers for Haley Burnett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811668460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 2021029674 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2021029674 (Missouri) | Primary |
| 207N00000X | Dermatology | 2021029674 (Missouri) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dermatology Office Pc | 0244392009 | 4 |
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 Burnett allows following entities to bill medicare on her behalf.
| Entity Name | Dermatology Office Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043462591
PECOS PAC ID: 0244392009
Enrollment ID: O20090105000113 |
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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. Haley Burnett 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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Haley Burnett, DNP
320 Caytie Trl,
Poplar Bluff, MO 63901-6874
Ph: (573) 686-4750 | Haley Burnett, DNP
1600 W Harper St,
Poplar Bluff, MO 63901-4119
Ph: (573) 686-4750 |
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