Jason Andrew Haynes, BSW, MSW is a medicare enrolled "Social Worker - Clinical" provider in Spokane, Washington. His current practice location is
711 E 3rd Ave, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 838-4651.
Jason Andrew Haynes is licensed to practice in Washington (license number SC61094840) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720556814.
Healthcare Provider's Profile
| Full Name | Jason Andrew Haynes |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 711 E 3rd Ave, Spokane, Washington |
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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: 1720556814
- Provider Enumeration Date: 11/06/2018
- Last Update Date: 07/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 9032517164
- Enrollment ID: I20211004003089
Medical Identifiers
Medical identifiers for Jason Andrew Haynes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720556814 | NPI | - | NPPES |
| 1041C0700X | Other | WA | SOCIAL WORKER- CLINICAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | CG60391096 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | SC61094840 (Washington) | 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. Jason Andrew Haynes allows following entities to bill medicare on his behalf.
| Entity Name | Frontier Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861495327
PECOS PAC ID: 5092603340
Enrollment ID: O20040308001191 |
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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. Jason Andrew Haynes 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 |
|---|
Jason Andrew Haynes, BSW, MSW
107 S Division St,
Spokane, WA 99202-1510
Ph: (509) 838-4651 | Jason Andrew Haynes, BSW, MSW
711 E 3rd Ave,
Spokane, WA 99202-2211
Ph: (509) 838-4651 |
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