Joanna Kae Haag, PMHNP - Medicare Nurse Practitioner in Maryville, IL

Joanna Kae Haag, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Maryville, Illinois. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Illinois Associates Llc and her current practice location is 6805 State Route 162 Ste 201, Maryville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 288-5019.

Joanna Kae Haag is licensed to practice in Illinois (license number 209027119) 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 1760052310.

Contact Information

Joanna Kae Haag, PMHNP
6805 State Route 162 Ste 201,
Maryville, IL 62062-8530
(618) 288-5019
Not Available

Map and Direction




Provider's Profile

Full NameJoanna Kae Haag
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location6805 State Route 162 Ste 201, Maryville, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Joanna Kae Haag graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1760052310
  • Provider Enumeration Date: 06/27/2021
  • Last Update Date: 03/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8022413350
  • Enrollment ID: I20230615003779

Medical Identifiers

Medical identifiers for Joanna Kae Haag such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760052310NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 2021032483 (Missouri)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 209027119 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Illinois Associates Llc296148999210

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. Joanna Kae Haag allows following entities to bill medicare on her behalf.
Entity NameSouthern Illinois Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962427856
PECOS PAC ID: 2961489992
Enrollment ID: O20040707000602

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. Joanna Kae Haag 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 AddressPractice Location Address
Joanna Kae Haag, PMHNP
6805 Il 162, Suite 201,
Maryville, IL 62062

Ph: (618) 288-5019
Joanna Kae Haag, PMHNP
6805 State Route 162 Ste 201,
Maryville, IL 62062-8530

Ph: (618) 288-5019

Reviews and Comments


Nurse Practitioner Nurses in Maryville, IL

Mrs. Katherine Anne Burnley, ANP-C
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Phone: 618-288-7605    Fax: 618-288-7644
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Phone: 618-288-6722    Fax: 618-288-2077
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Phone: 618-288-7408    Fax: 618-288-7418
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Practice Location: 6812 State Route 162 Ste 200, Maryville, IL 62062
Phone: 618-288-0900    Fax: 618-288-0909
Christin Page Friederich, WHNP-BC
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Medicare: Medicare Enrolled
Practice Location: 2016 Vadalabene Dr Ste B, Maryville, IL 62062
Phone: 618-288-2970    Fax: 618-288-3572

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.