Dr Kamlyn Haynes, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in West Boylston, Massachusetts. Her current practice location is
47 Prospect St, West Boylston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 608-2241.
Dr Kamlyn Haynes is licensed to practice in Massachusetts (license number 158525) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417936667.
Physician's Profile
| Full Name | Dr Kamlyn Haynes |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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| Location | 47 Prospect St, West Boylston, Massachusetts |
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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: 1417936667
- Provider Enumeration Date: 01/15/2006
- Last Update Date: 10/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 9436425568
- Enrollment ID: I20211011001500
Medical Identifiers
Medical identifiers for Dr Kamlyn Haynes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417936667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 158525 (Massachusetts) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 158525 (Massachusetts) | 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 Kamlyn Haynes allows following entities to bill medicare on her behalf.
| Entity Name | Umass Memorial Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267 |
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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 Kamlyn 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 |
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Dr Kamlyn Haynes, MD
47 Prospect St,
West Boylston, MA 01583-1301
Ph: (781) 608-2241 | Dr Kamlyn Haynes, MD
47 Prospect St,
West Boylston, MA 01583-1301
Ph: (781) 608-2241 |
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