Michele Rae Haege, PA-C
Individual provider Active NPI Medical Physician Assistant · Solon, IA
NPI 1972260503 · NPPES record last updated Nov 18, 2021
Key facts
- NPI
- 1972260503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 108795 (IA)
- Practice address
- 804 Plum St
Solon, IA 52333-9514 - Phone
- (612) 999-5431
- NPI assigned
- Nov 18, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220104001491 | IA | Practitioner - Physician Assistant | 3971994872 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108795 | IA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linn County Emergency Medicine PC | Current |
Accepting new patients |
Locations
701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011
1195 Boyson Rd
Ste 101
Hiawatha, IA 52233
Phone (319) 832-3950
999 35th St
Marion, IA 52302
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 108795 | IA | Yes |
Addresses
Primary practice location
804 Plum St
Solon, IA 52333-9514
Mailing address
804 Plum St
Solon, IA 52333-9514
Phone (612) 999-5431
Other providers in Solon, IA
- Leticia Emerson
- Ashley Marie Engelken
- Fitzpatrick Family Chiropractic LLC
- Brian James Fitzpatrick
- Melinda Ann Green
- Emily Suzanne Haight
- Gabrielle Genevieve Henry
- Michael Scott Hoag
- Jacqueline Hodgins
- Michelle Holm
All providers in Solon, IA · Medical Physician Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.