NPIMap

Individual provider Active NPI

Benedict R. Haeg, M.D.

  • Family Medicine Physician
  • Sauk Centre, MN
National Provider Identifier
1023053659
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43659 Issued in MN
Practice address
425 Elm St N
Centracare Health System-Sauk Centre
Sauk Centre, MN 56303-1010
Phone
(320) 352-6591
Fax
(320) 352-5164
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 43659 MN Primary

Addresses

Primary practice location

425 Elm St N
Centracare Health System-Sauk Centre
Sauk Centre, MN 56303-1010

Mailing address

425 Elm St N
Centracare Health System - Sauk Centre
Sauk Centre, MN 56303-1010
Phone (320) 352-6591

Other identifiers 4

IdentifierTypeStateIssuer
080184780OtherGARAILROAD MEDICARE
N003453OtherMNCHAMPUS
52D34HAOtherMNBCBS
273673000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090803000711 MN Practitioner - Family Practice 7810040243 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centracare Health System - Sauk CentreGroup PAC ID 4981857216, shared by 3 NPIs, 24 clinicians

Practice addresses (Care Compare)

425 Elm St N
Sauk Centre, MN 56378-1010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic CurrentSince Nov 13, 2019 Accepting new patients
Centracare Health System - Melrose CurrentSince May 1, 2014 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Dec 1, 2012 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Dec 1, 2012 Accepting new patients
Centracare Health System - Sauk Centre Current Accepting new patients
Centracare Health System - Long Prairie CurrentSince May 1, 2014 Accepting new patients
Centracare Health System - Melrose CurrentSince May 1, 2014 Accepting new patients
Centracare Clinic CurrentSince Nov 13, 2019 Accepting new patients
Centracare Clinic Current Accepting new patients
Lakeview Medical Clinic Current Accepting new patients
Cura of Sauk Centre LLC Past Accepting new patients

Locations

50 Centracare Dr
Long Prairie, MN 56347
Phone (320) 732-2131

525 Main St W
Melrose, MN 56352
Phone (320) 256-4228

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

433 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-6591

Interoperability endpoints

  • Direct secure messaging: bhaeg21376@direct.centracare.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1023053659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ELM ST N",
            "address_2": "CENTRACARE HEALTH SYSTEM - SAUK CENTRE",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563031010",
            "telephone_number": "320-352-6591",
            "fax_number": "320-352-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ELM ST N",
            "address_2": "CENTRACARE HEALTH SYSTEM-SAUK CENTRE",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563031010",
            "telephone_number": "320-352-6591",
            "fax_number": "320-352-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAEG",
        "first_name": "BENEDICT",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "43659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080184780",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "N003453",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52D34HA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273673000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sauk Centre, MN

Sources for this page

Verify at the official NPI Registry.