Haley Carlock, DNP, PMHNP-BC - Medicare Nurse Practitioner in St Louis Park, MN

Haley Carlock, DNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in St Louis Park, Minnesota. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Healthwise Psychology Pa and her current practice location is 1155 Ford Rd, Suite B, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 378-1800.

Haley Carlock is licensed to practice in Minnesota (license number CNP 4630) 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 1013364199.

Contact Information

Haley Carlock, DNP, PMHNP-BC
1155 Ford Rd, Suite B,
St Louis Park, MN 55426-1099
(952) 378-1800
(952) 378-1714



Provider's Profile

Full NameHaley Carlock
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1155 Ford Rd, St Louis Park, Minnesota
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:
  • Haley Carlock graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1013364199
  • Provider Enumeration Date: 05/19/2016
  • Last Update Date: 04/26/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5991093635
  • Enrollment ID: I20161012000310

Medical Identifiers

Medical identifiers for Haley Carlock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013364199NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health CNP 4630 (Minnesota)Primary
363L00000XNurse Practitioner R 197063-4 (Minnesota)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthwise Psychology Pa256768564719

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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. Haley Carlock allows following entities to bill medicare on her behalf.
Entity NameHealthwise Psychology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184920753
PECOS PAC ID: 2567685647
Enrollment ID: O20140516001784

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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. Haley Carlock 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
Haley Carlock, DNP, PMHNP-BC
3100 W Lake St, Suite 210,
Minneapolis, MN 55416-4527

Ph: (612) 925-6033
Haley Carlock, DNP, PMHNP-BC
1155 Ford Rd, Suite B,
St Louis Park, MN 55426-1099

Ph: (952) 378-1800

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Nurse Practitioner Nurses in St Louis Park, MN

Camille Ashley Schwarzrock, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426
Phone: 952-993-3230    Fax: 952-993-1748
Rachel Anderson, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4201 Excelsior Blvd, St Louis Park, MN 55416
Phone: 952-933-8900    
Catherine Ann Watson Lund,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4700 Park Glen Rd, St Louis Park, MN 55416
Phone: 952-922-4200    Fax: 952-922-4301
Anna Melnichuk,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-3246    Fax: 952-993-3010
Oluwasegun Paul David, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5775 Wayzata Blvd Fl 2, St Louis Park, MN 55416
Phone: 952-525-4500    
Tiffany Rae Krebsbach,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-3246    

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