Carl L Haynes Jr, MD is a medicare enrolled "Family Medicine" physician in La Grange, North Carolina. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Vidant Medical Group Llc and his current practice location is
101 S Carey St, La Grange, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 566-4021.
Carl L Haynes Jr is licensed to practice in North Carolina (license number 25713) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720063340.
Physician's Profile
| Full Name | Carl L Haynes Jr |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 44 Years |
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| Location | 101 S Carey St, La Grange, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carl L Haynes Jr attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1980
NPI Data:
- NPI Number: 1720063340
- Provider Enumeration Date: 12/07/2005
- Last Update Date: 01/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981785821
- Enrollment ID: I20100514000398
Medical Identifiers
Medical identifiers for Carl L Haynes Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720063340 | NPI | - | NPPES |
| 8940728 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 25713 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Vidant Medical Group Llc | 0345343893 | 850 |
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. Carl L Haynes Jr allows following entities to bill medicare on his behalf.
| Entity Name | Vidant Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445 |
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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. Carl L Haynes Jr 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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Carl L Haynes Jr, MD
701 Doctors Dr, Suite N,
Kinston, NC 28501-1589
Ph: (252) 559-2200 | Carl L Haynes Jr, MD
101 S Carey St,
La Grange, NC 28551-1805
Ph: (252) 566-4021 |
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