Jackson Haynes, MD - Medicare Family Medicine in Pine Bluff, AR

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Jackson Haynes, MD is a medicare enrolled "Family Medicine" physician in Pine Bluff, Arkansas. His current practice location is 1601 W 40th Ave Ste 100, Pine Bluff, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 541-6000.

Jackson Haynes is licensed to practice in Arkansas (license number E15843) 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 1255918157.

Contact Information

Jackson Haynes, MD
1601 W 40th Ave Ste 100,
Pine Bluff, AR 71603-6069
(870) 541-6000
(870) 541-6009

Map and Direction




Physician's Profile

Full NameJackson Haynes
GenderMale
SpecialityFamily Medicine
Location1601 W 40th Ave Ste 100, Pine Bluff, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255918157
  • Provider Enumeration Date: 03/26/2021
  • Last Update Date: 09/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9234515669
  • Enrollment ID: I20221007001309

Medical Identifiers

Medical identifiers for Jackson Haynes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255918157NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine E15843 (Arkansas)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine E15843 (Arkansas)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. Jackson Haynes allows following entities to bill medicare on his behalf.
Entity NameArkansas Emergency Staffing Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774630
PECOS PAC ID: 3274681341
Enrollment ID: O20090501000014
Entity NameEss Hospitalist Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881967305
PECOS PAC ID: 6103085295
Enrollment ID: O20120308000726
Entity NameSoutheast Arkansas Emergency Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922475078
PECOS PAC ID: 6204146319
Enrollment ID: O20151102001647
Entity NameHospital Care Consultants Of Fordyce Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316497464
PECOS PAC ID: 5395024475
Enrollment ID: O20161112000042
Entity NameEss Of Fordyce Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821547977
PECOS PAC ID: 1254611601
Enrollment ID: O20161201001070
Entity NameHcc Of Warren Hospitalist, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326641606
PECOS PAC ID: 5698189280
Enrollment ID: O20210121002187
Entity NameHcc Of Warren Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952904237
PECOS PAC ID: 6406260371
Enrollment ID: O20210204001426
Entity NameEss Of Mcgehee Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639822653
PECOS PAC ID: 0749677516
Enrollment ID: O20220426000293

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. Jackson 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
Jackson Haynes, MD
1601 W 40th Ave Ste 100,
Pine Bluff, AR 71603-6069

Ph: (870) 541-6000		Jackson Haynes, MD
1601 W 40th Ave Ste 100,
Pine Bluff, AR 71603-6069

Ph: (870) 541-6000

Reviews and Comments


Family Medicine Doctors in Pine Bluff, AR

Mrs. Larisa Kachowski, MD
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Practice Location: 1726 W42d Ave, Pine Bluff, AR 71603
Phone: 870-619-4516    
Simmie Armstrong Jr., M.D.
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Practice Location: 1400 W 43rd Ave, Pine Bluff, AR 71603
Phone: 870-535-6461    Fax: 870-535-0594
Dr. Sree Chellappan, MD
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Medicare: Medicare Enrolled
Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603
Phone: 870-541-6000    Fax: 870-541-6010
Manuel R Kelley, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601
Phone: 870-543-2380    Fax: 870-535-4716
Pavana Naga Gopi Krishna Tirumanisetti, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1601 W 40th Ave, Pine Bluff, AR 71603
Phone: 870-541-6000    Fax: 870-541-6009
Dr. Toni L Middleton, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603
Phone: 870-541-6000    Fax: 870-541-7622
Dr. Tracey Albertha Lockhart Wright, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603
Phone: 870-540-6000    Fax: 870-541-6010

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.