Blaire M Hines, LSCSW is a medicare enrolled "Social Worker - Clinical" provider in Lawrence, Kansas. Her current practice location is
200 Maine St Ste A, Lawrence, Kansas. You can reach out to her office (for appointments etc.) via phone at
(785) 830-1882.
Blaire M Hines is licensed to practice in Kansas (license number 05955) 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 1922489954.
Healthcare Provider's Profile
| Full Name | Blaire M Hines |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 200 Maine St Ste A, Lawrence, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1922489954
- Provider Enumeration Date: 06/16/2015
- Last Update Date: 02/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002289295
- Enrollment ID: I20230309001390
Medical Identifiers
Medical identifiers for Blaire M Hines such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922489954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00822 (Kansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2023002041 (Missouri) | Secondary |
| 1041C0700X | Social Worker - Clinical | 05955 (Kansas) | 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. Blaire M Hines allows following entities to bill medicare on her behalf.
| Entity Name | Bert Nash Community Mental Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841281805
PECOS PAC ID: 5799693834
Enrollment ID: O20040209000772 |
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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. Blaire M Hines 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 |
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Blaire M Hines, LSCSW
4241 N Grand Ave,
Kansas City, MO 64116-4516
Ph: (816) 797-7576 | Blaire M Hines, LSCSW
200 Maine St Ste A,
Lawrence, KS 66044-1396
Ph: (785) 830-1882 |
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