Dr Andre Vontral Haynes, MD - Medicare General Practice in Stockbridge, GA

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Dr Andre Vontral Haynes, MD is a medicare enrolled "General Practice" physician in Stockbridge, Georgia. His current practice location is 229 Rugged Creek Dr, Stockbridge, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 783-0792.

Dr Andre Vontral Haynes is licensed to practice in Georgia (license number 68818) 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 1174857940.

Contact Information

Dr Andre Vontral Haynes, MD
229 Rugged Creek Dr,
Stockbridge, GA 30281-4568
(404) 783-0792
Not Available

Map and Direction




Physician's Profile

Full NameDr Andre Vontral Haynes
GenderMale
SpecialityGeneral Practice
Location229 Rugged Creek Dr, Stockbridge, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174857940
  • Provider Enumeration Date: 09/28/2009
  • Last Update Date: 11/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0042466500
  • Enrollment ID: I20240329002626

Medical Identifiers

Medical identifiers for Dr Andre Vontral Haynes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174857940NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice MD.29119 (Alabama)Secondary
208D00000XGeneral Practice 68818 (Georgia)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. Dr Andre Vontral Haynes allows following entities to bill medicare on his behalf.
Entity NameMedical Escort Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861269995
PECOS PAC ID: 7315384658
Enrollment ID: O20240322001493

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. Dr Andre Vontral 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 AddressPractice Location Address
Dr Andre Vontral Haynes, MD
229 Rugged Creek Dr,
Stockbridge, GA 30281-4568

Ph: () -		Dr Andre Vontral Haynes, MD
229 Rugged Creek Dr,
Stockbridge, GA 30281-4568

Ph: (404) 783-0792

Reviews and Comments


General Practice Doctors in Stockbridge, GA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.