Eric B Hines, MD is a medicare enrolled "Family Medicine" physician in Sparta, Missouri. His current practice location is
155 Village Dr, Sparta, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 634-4203.
Eric B Hines is licensed to practice in Missouri (license number 2020029244) 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 1689289282.
Physician's Profile
Full Name | Eric B Hines |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 155 Village Dr, Sparta, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689289282
- Provider Enumeration Date: 09/10/2020
- Last Update Date: 09/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 1456735216
- Enrollment ID: I20220829003038
Medical Identifiers
Medical identifiers for Eric B Hines such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689289282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2020029244 (Missouri) | 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. Eric B Hines 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 |
Eric B Hines, MD 155 Village Dr, Sparta, MO 65753-8104 Ph: (417) 634-4203 | Eric B Hines, MD 155 Village Dr, Sparta, MO 65753-8104 Ph: (417) 634-4203 |
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