Haley Lancaster, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Callaway, Florida. Her current practice location is
626 N Tyndall Pkwy, Callaway, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 871-6363.
Haley Lancaster is licensed to practice in Florida (license number 11033738) 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 1740010024.
Provider's Profile
| Full Name | Haley Lancaster |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 626 N Tyndall Pkwy, Callaway, Florida |
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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: 1740010024
- Provider Enumeration Date: 08/02/2024
- Last Update Date: 08/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587196761
- Enrollment ID: I20241011004037
Medical Identifiers
Medical identifiers for Haley Lancaster such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740010024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11033738 (Florida) | 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 Lancaster allows following entities to bill medicare on her behalf.
| Entity Name | Chrysalis Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700961646
PECOS PAC ID: 8325186646
Enrollment ID: O20091106000319 |
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| Entity Name | Dr Luisa Vega Dnp Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497123319
PECOS PAC ID: 3577872605
Enrollment ID: O20151012001431 |
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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 Lancaster 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 Lancaster, PMHNP
525 Technology Park Ste 109,
Lake Mary, FL 32746-7107
Ph: (850) 625-4702 | Haley Lancaster, PMHNP
626 N Tyndall Pkwy,
Callaway, FL 32404-6132
Ph: (850) 871-6363 |
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