Lyssa T Haase, PSYD in Salt Lake City, UT - Medicare Clinical Psychologist Provider

Lyssa T Haase, PSYD is a medicare enrolled "Psychologist" provider in Salt Lake City, Utah. She graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice St Lukes Community Hospital and her current practice location is 5770 S 1500 W, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 313-7770.

Lyssa T Haase is licensed to practice in Utah (license number 10069932-2501) 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 1053709634.

Contact Information

	Lyssa T Haase, PSYD
	5770 S 1500 W, Salt Lake City, UT 84123-5216
	(801) 313-7770
	(801) 313-7771

Map and Direction

Healthcare Provider's Profile

Full Name	Lyssa T Haase
Gender	Female
Speciality	Clinical Psychologist
Experience	10 Years
Location	5770 S 1500 W, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lyssa T Haase graduated from medical school in 2016

NPI Data:

NPI Number: 1053709634
Provider Enumeration Date: 01/05/2015
Last Update Date: 08/29/2024

Medicare PECOS Information:

PECOS PAC ID: 5092053181
Enrollment ID: I20240705002015

Medical Identifiers

Medical identifiers for Lyssa T Haase such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053709634	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	4573 (Montana)	Secondary
103T00000X	Psychologist	10069932-2501 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Lukes Community Hospital	5496659567	54

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. Lyssa T Haase allows following entities to bill medicare on her behalf.

Entity Name	St Lukes Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306911169 PECOS PAC ID: 5496659567 Enrollment ID: O20031121000276

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. Lyssa T Haase 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
Lyssa T Haase, PSYD Po Box 30180, Salt Lake City, UT 84130-0180 Ph: () -	Lyssa T Haase, PSYD 5770 S 1500 W, Salt Lake City, UT 84123-5216 Ph: (801) 313-7770

Reviews and Comments

Psychologist in Salt Lake City, UT

Dr. Rachel Leigh Hopkins, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 164 S 900 E, Salt Lake City, UT 84102 Phone: 801-419-0139 Fax: 385-227-8099
Megan Wall, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 464 E 3rd Ave, Salt Lake City, UT 84103 Phone: 609-462-5974
Dr. Charlotte J Ferrin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1399 S 700 E, Suite 11, Salt Lake City, UT 84105 Phone: 801-231-5795
Kelly Stout, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 295 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-213-3469
Jordan Kugler, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 170 S 1000 E Ste 201, Salt Lake City, UT 84102 Phone: 402-578-7426
Bruce Dennis Etringer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 675 E 2100 S Ste 250, Salt Lake City, UT 84106 Phone: 801-467-8890 Fax: 801-484-3862
Dr. Ann H Tyler, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4505 So Wasatch Blvd, Suite #380, Salt Lake City, UT 84124 Phone: 801-273-7835

Lyssa T Haase, PSYD - Medicare Psychologist in Salt Lake City, UT