Mrs Mary Kathleen Haber, CRNP in Baltimore, MD

Mrs Mary Kathleen Haber, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Baltimore, Maryland. Her current practice location is 1040 Park Ave Ste 200, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 738-0300.

Mrs Mary Kathleen Haber is licensed to practice in Maryland (license number R195767) 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 1528431020.

Contact Information

	Mrs Mary Kathleen Haber, CRNP
	1040 Park Ave Ste 200, Baltimore, MD 21201-5634
	(443) 738-0300
	(443) 738-0301

Map and Direction

Provider's Profile

Full Name	Mrs Mary Kathleen Haber
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1040 Park Ave Ste 200, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528431020
Provider Enumeration Date: 11/05/2015
Last Update Date: 06/16/2018

Medicare PECOS Information:

PECOS PAC ID: 7315235165
Enrollment ID: I20161011000197

Medical Identifiers

Medical identifiers for Mrs Mary Kathleen Haber such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528431020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WL0100X	Registered Nurse - Lactation Consultant	R195767 (Maryland)	Secondary
163WL0100X	Registered Nurse - Lactation Consultant	L-46806 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	R195767 (Maryland)	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. Mrs Mary Kathleen Haber allows following entities to bill medicare on her behalf.

Entity Name	Lifebridge Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174815807 PECOS PAC ID: 3678751468 Enrollment ID: O20110627000318

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. Mrs Mary Kathleen Haber 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
Mrs Mary Kathleen Haber, CRNP 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309-1316 Ph: (404) 231-4431	Mrs Mary Kathleen Haber, CRNP 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 Ph: (443) 738-0300

Reviews and Comments

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Mrs Mary Kathleen Haber, CRNP - Medicare Nurse Practitioner in Baltimore, MD