Holly Anne Haines, PA-C, RDN is a
Physician Assistant based in Wright Patterson Afb, Ohio. Holly Anne Haines is licensed to practice in * (Not Available) (license number 1220046) and her current practice location is
4881 Sugar Maple Dr, Wright Patterson Afb, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 522-2778.
NPI number for Holly Anne Haines is 1477972768 and her current mailing address is 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477972768.
Healthcare Provider's Profile
| Full Name | Holly Anne Haines |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477972768
- Provider Enumeration Date: 04/15/2014
- Last Update Date: 04/01/2024
Medical Identifiers
Medical identifiers for Holly Anne Haines such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477972768 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 1079535 (Idaho) | Secondary |
| 363A00000X | Physician Assistant | 1220046 (* (Not Available)) | Primary |
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. Holly Anne Haines is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Holly Anne Haines, PA-C, RDN
4881 Sugar Maple Dr,
Wright Patterson Afb, OH 45433-5529
Ph: (379) 257-0402 | Holly Anne Haines, PA-C, RDN
4881 Sugar Maple Dr,
Wright Patterson Afb, OH 45433-5529
Ph: (937) 522-2778 |
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