Mrs Sally Lynn Haen, NP in Green Bay, WI - Medicare Nurse Practitioner

Mrs Sally Lynn Haen, NP is a medicare enrolled "Nurse Practitioner" in Green Bay, Wisconsin. Her current practice location is 835 S Van Buren St, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 433-0111.

Mrs Sally Lynn Haen is licensed to practice in Wisconsin (license number F04220270) 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 1093451155.

Contact Information

	Mrs Sally Lynn Haen, NP
	835 S Van Buren St, Green Bay, WI 54301-3526
	(920) 433-0111
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Sally Lynn Haen
Gender	Female
Speciality	Nurse Practitioner
Location	835 S Van Buren St, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093451155
Provider Enumeration Date: 05/10/2022
Last Update Date: 09/29/2022

Medicare PECOS Information:

PECOS PAC ID: 2769864750
Enrollment ID: I20220808002719

Medical Identifiers

Medical identifiers for Mrs Sally Lynn Haen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093451155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	F04220270 (Wisconsin)	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 Sally Lynn Haen allows following entities to bill medicare on her behalf.

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689694911 PECOS PAC ID: 5799694675 Enrollment ID: O20040126000012

Entity Name	St Mary's Hospital Medical Center Of Green Bay Inc-hospital Sisters
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649246877 PECOS PAC ID: 7719871268 Enrollment ID: O20040614000794

Entity Name	St Clare Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851477913 PECOS PAC ID: 0446211395 Enrollment ID: O20041023000037

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447737762 PECOS PAC ID: 8325931652 Enrollment ID: O20190321002397

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 Sally Lynn Haen 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 Sally Lynn Haen, NP 835 S Van Buren St, Green Bay, WI 54301-3526 Ph: (920) 426-4700	Mrs Sally Lynn Haen, NP 835 S Van Buren St, Green Bay, WI 54301-3526 Ph: (920) 433-0111

Reviews and Comments

Nurse Practitioner Nurses in Green Bay, WI

Tammy Ann Motquin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-445-7226
Mary C Fox, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3237 Voyager Dr, Green Bay, WI 54311 Phone: 920-468-8288
Mrs. Kristen Kay Lampe, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 720 S Van Buren St, Suite 201, Green Bay, WI 54301 Phone: 920-433-7488
Nicole L Lowe, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7300 Fax: 920-327-7348
Mr. Cristian A Vasiliev, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800
Corinne Elizabeth George, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 Fax: 920-445-7301
Junhong Pace, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700

Mrs Sally Lynn Haen, NP - Medicare Nurse Practitioner in Green Bay, WI