Mrs Teresa Diann Hines, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Keyser, West Virginia. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Potomac Valley Hospital Of Wva, Inc and her current practice location is
100 Pin Oak Ln, Keyser, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 359-3500.
Mrs Teresa Diann Hines is licensed to practice in West Virginia (license number 106873) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972192136.
Physician's Profile
| Full Name | Mrs Teresa Diann Hines |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 100 Pin Oak Ln, Keyser, West Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Teresa Diann Hines graduated from medical school in 2020
NPI Data:
- NPI Number: 1972192136
- Provider Enumeration Date: 01/12/2021
- Last Update Date: 04/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 1153737135
- Enrollment ID: I20210317001846
Medical Identifiers
Medical identifiers for Mrs Teresa Diann Hines such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972192136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 106873 (West Virginia) | Secondary |
| 208M00000X | Hospitalist | 106873 (West Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 106873 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Potomac Valley Hospital Of Wva, Inc | 8123917788 | 46 |
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. Mrs Teresa Diann Hines allows following entities to bill medicare on her behalf.
| Entity Name | Potomac Valley Hospital Of Wva, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316054919
PECOS PAC ID: 8123917788
Enrollment ID: O20040311001344 |
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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. Mrs Teresa Diann 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 |
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Mrs Teresa Diann Hines, FNP-BC
192 Carroll Ave,
Keyser, WV 26726-5021
Ph: (304) 359-5627 | Mrs Teresa Diann Hines, FNP-BC
100 Pin Oak Ln,
Keyser, WV 26726-5908
Ph: (304) 359-3500 |
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