Dr Douglas Brandt Haynes, MD is a medicare enrolled "Orthopaedic Surgery" physician in Mc Minnville, Tennessee. His current practice location is
207 Oak Park, Mc Minnville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 473-9624.
Dr Douglas Brandt Haynes is licensed to practice in Tennessee (license number MD10334) 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 1235102963.
Physician's Profile
| Full Name | Dr Douglas Brandt Haynes |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 207 Oak Park, Mc Minnville, Tennessee |
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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: 1235102963
- Provider Enumeration Date: 02/13/2006
- Last Update Date: 05/13/2015
Medicare PECOS Information:
- PECOS PAC ID: 1052358801
- Enrollment ID: I20100803000776
Medical Identifiers
Medical identifiers for Dr Douglas Brandt Haynes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235102963 | NPI | - | NPPES |
| 3191762 | Medicaid | TN | |
| 3384004 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | MD10334 (Tennessee) | 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 Douglas Brandt Haynes allows following entities to bill medicare on his behalf.
| Entity Name | Saint Thomas Medical Partners |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437194669
PECOS PAC ID: 1557269354
Enrollment ID: O20031230000470 |
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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. Dr Douglas Brandt 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 |
|---|
Dr Douglas Brandt Haynes, MD
207 Oak Park,
Mc Minnville, TN 37110-1336
Ph: (931) 473-9624 | Dr Douglas Brandt Haynes, MD
207 Oak Park,
Mc Minnville, TN 37110-1336
Ph: (931) 473-9624 |
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