Ms Jennifer L Haak, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Lackawanna, New York. Her current practice location is
650 Ridge Rd, Lackawanna, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 828-9655.
Ms Jennifer L Haak is licensed to practice in New York (license number 227149) 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 1205925039.
Physician's Profile
| Full Name | Ms Jennifer L Haak |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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| Location | 650 Ridge Rd, Lackawanna, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205925039
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5597784934
- Enrollment ID: I20051115000950
Medical Identifiers
Medical identifiers for Ms Jennifer L Haak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205925039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 227149 (New York) | 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. Ms Jennifer L Haak allows following entities to bill medicare on her behalf.
| Entity Name | Kaleida Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366473183
PECOS PAC ID: 7810805280
Enrollment ID: O20031105000212 |
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| Entity Name | Erie County Medical Center Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528233616
PECOS PAC ID: 1456308907
Enrollment ID: O20050715000538 |
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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. Ms Jennifer L Haak 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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Ms Jennifer L Haak, MD
650 Ridge Rd,
Lackawanna, NY 14218-1435
Ph: (716) 828-9655 | Ms Jennifer L Haak, MD
650 Ridge Rd,
Lackawanna, NY 14218-1435
Ph: (716) 828-9655 |
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