Paul R Haller, MD - Medicare Emergency Medicine in St Paul, MN

Paul R Haller, MD is a medicare enrolled "Emergency Medicine" physician in St Paul, Minnesota. He went to University Of Minnesota Medical School and graduated in 1984 and has 40 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Lakeview Memorial Hospital Association, Inc., Governor Juan F Luis Hospital And Medical Center and his current practice location is 640 Jackson St, Mc 11102f, St Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 254-3456.

Paul R Haller is licensed to practice in Minnesota (license number 29564) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487622890.

Contact Information

Paul R Haller, MD
640 Jackson St, Mc 11102f,
St Paul, MN 55101-2502
(651) 254-3456
(651) 254-5216



Physician's Profile

Full NamePaul R Haller
GenderMale
SpecialityEmergency Medicine
Experience40 Years
Location640 Jackson St, St Paul, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Paul R Haller attended and graduated from University Of Minnesota Medical School in 1984
  NPI Data:
  • NPI Number: 1487622890
  • Provider Enumeration Date: 03/10/2006
  • Last Update Date: 10/21/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8628042009
  • Enrollment ID: I20070123000585

Medical Identifiers

Medical identifiers for Paul R Haller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487622890NPI-NPPES
238878200MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 29564 (Minnesota)Primary
207P00000XEmergency Medicine 40514 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Westfields Hospital And ClinicNew richmond, WIHospital
Hudson HospitalHudson, WIHospital
Gov Juan F Luis Hospital & Medical CtrSt croix, VIHospital
Regions HospitalSaint paul, MNHospital
Lakeview Memorial HospitalStillwater, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeview Memorial Hospital Association, Inc.195121085517
Governor Juan F Luis Hospital And Medical Center115323380430

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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. Paul R Haller allows following entities to bill medicare on his behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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Entity NameLakeview Memorial Hospital Association, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821114729
PECOS PAC ID: 1951210855
Enrollment ID: O20031104000543

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Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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Entity NameRegions Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154359917
PECOS PAC ID: 3173436755
Enrollment ID: O20031110000511

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Entity NameStillwater Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558350488
PECOS PAC ID: 9436104510
Enrollment ID: O20050322000615

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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. Paul R Haller 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
Paul R Haller, MD
8100 34th Ave S, Mc21110q,
Bloomington, MN 55425-1672

Ph: (952) 883-7172
Paul R Haller, MD
640 Jackson St, Mc 11102f,
St Paul, MN 55101-2502

Ph: (651) 254-3456

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Emergency Medicine Doctors in St Paul, MN

Felix K Ankel, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 640 Jackson Street, Mc 11102f, St Paul, MN 55101
Phone: 651-254-3456    Fax: 651-254-5216
Ralph J Frascone, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 640 Jackson Street, Mc11102f, St Paul, MN 55101
Phone: 651-254-3456    Fax: 651-254-5216
Peter Kumasaka, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 640 Jackson St, Mc 11102f, St Paul, MN 55101
Phone: 651-254-3456    Fax: 651-254-5216
Kellee A Street, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 345 North Smith Avenue, Childrens Hospitals And Clinics Of Minnesota Emergency, St Paul, MN 55102
Phone: 651-220-6914    
Michael D Zwank, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 640 Jackson Street, Mc11102f, St Paul, MN 55101
Phone: 651-254-3456    Fax: 651-254-5216
Donna M Milner, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 345 North Smith Avenue, Childrens Hospitals And Clinics Emergency Physicians, St Paul, MN 55102
Phone: 651-220-6914    
Barbara C Letourneau, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 640 Jackson St, Mc 11102f, St Paul, MN 55101
Phone: 651-254-3456    Fax: 651-254-5216

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