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

Lyssa T Haase, PSYD is a medicare enrolled "Psychologist" provider in Salt Lake City, Utah. Her current practice location is 5770 S 1500 W Bldg G, 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 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 1053709634.

Contact Information

	Lyssa T Haase, PSYD
	5770 S 1500 W Bldg G, Salt Lake City, UT 84123-5216
	(801) 313-7770
	Not Available

Healthcare Provider's Profile

Full Name	Lyssa T Haase
Gender	Female
Speciality	Psychologist
Location	5770 S 1500 W Bldg G, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053709634
Provider Enumeration Date: 01/05/2015
Last Update Date: 08/05/2019

Medicare PECOS Information:

PECOS PAC ID: 5092053181
Enrollment ID: I20190215000284

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	10069932-2501 (Utah)	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. Lyssa T Haase allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

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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. 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 Bldg G, Salt Lake City, UT 84123-5216 Ph: (801) 313-7770

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Patients whose aggressive lymphomas have relapsed or failed to respond to the current front-line chemotherapy regimen now have an effective second line of attack against their disease.

Boehringer Ingelheim receives FDA Priority Review for afatinib to treat EGFR mutation-positive NSCLC

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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
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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

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

Bill Gates's annual letter to focus on measurement to fight poverty, disease

Results from Merck's Vorinostat phase 1 trial on lymphoma

Boehringer Ingelheim receives FDA Priority Review for afatinib to treat EGFR mutation-positive NSCLC

Framework responding to the growing need for guidance on HIV and AIDS in African communities

Bill Gates's annual letter to focus on measurement to fight poverty, disease

Results from Merck's Vorinostat phase 1 trial on lymphoma

Boehringer Ingelheim receives FDA Priority Review for afatinib to treat EGFR mutation-positive NSCLC

Framework responding to the growing need for guidance on HIV and AIDS in African communities

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

Bill Gates's annual letter to focus on measurement to fight poverty, disease

Results from Merck's Vorinostat phase 1 trial on lymphoma

Boehringer Ingelheim receives FDA Priority Review for afatinib to treat EGFR mutation-positive NSCLC

Framework responding to the growing need for guidance on HIV and AIDS in African communities

Psychologist in Salt Lake City, UT