Haley Jerman, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Aurora, Colorado. Her current practice location is
12631 E 17th Ave, Aurora, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 724-6083.
Haley Jerman is licensed to practice in Colorado (license number ) 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 1629558614.
Provider's Profile
| Full Name | Haley Jerman |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 12631 E 17th Ave, Aurora, Colorado |
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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: 1629558614
- Provider Enumeration Date: 08/19/2018
- Last Update Date: 03/27/2026
Medicare PECOS Information:
- PECOS PAC ID: 4486904273
- Enrollment ID: I20181004002745
Medical Identifiers
Medical identifiers for Haley Jerman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629558614 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 1152 (South Dakota) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Colorado) | 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. Haley Jerman allows following entities to bill medicare on her behalf.
| Entity Name | Sanford Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396764254 PECOS PAC ID: 0244143824 Enrollment ID: O20031110000532 |
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| Entity Name | Sanford Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093090342 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388 |
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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 Jerman 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 |
Haley Jerman, 12631 E 17th Ave, Aurora, CO 80045-2527 Ph: (303) 724-6083 | Haley Jerman, 12631 E 17th Ave, Aurora, CO 80045-2527 Ph: (303) 724-6083 |
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