ANDRE DANIEL HAFNER
NPI 1568048023
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment
2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-1532 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andre Daniel Hafner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRE DANIEL HAFNER (NPI 1568048023) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1568048023
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDRE DANIEL HAFNER
Location Address2601 E ROOSEVELT STPhoenix, AZ 85008-4973
Mailing Address400 E Earll Dr Unit 444Phoenix, AZ 85012-0027 · (605) 484-1325
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 23, 2021
Last NPPES UpdateJune 3, 2022
NPPES CertifiedApril 7, 2021
NPI 1568048023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2601 E ROOSEVELT ST, Phoenix, AZ 85008

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andre Daniel Hafner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133650815
PECOS Enrollment IDI20241004002975
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine (Emergency Medical Services)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
General Acute Care Hospital
2601 E ROOSEVELT ST, DEPARTMENT OF MEDICINE
PHOENIX, AZ 85008
Surgery (Trauma Surgery)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Plastic Surgery
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andre Hafner's NPI number?

The NPI number for Andre Hafner is 1568048023. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Andre Hafner located?

Andre Hafner practices at 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 344-1532.

What is Andre Hafner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andre Hafner enrolled in Medicare?

Yes. Andre Hafner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andre Hafner was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.