Paul Michael Hines, MD - Medicare Surgery in Sulphur Springs, TX

Paul Michael Hines, MD is a medicare enrolled "Surgery" physician in Sulphur Springs, Texas. His current practice location is 6851 Texas Highway 154 S, Sulphur Springs, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 440-0283.

Paul Michael Hines is licensed to practice in Texas (license number F4085) 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 1801899695.

Contact Information

Paul Michael Hines, MD
6851 Texas Highway 154 S,
Sulphur Springs, TX 75482-8305
(903) 440-0283
(903) 438-0767

Map and Direction




Physician's Profile

Full NamePaul Michael Hines
GenderMale
SpecialitySurgery
Location6851 Texas Highway 154 S, Sulphur Springs, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801899695
  • Provider Enumeration Date: 05/24/2005
  • Last Update Date: 10/22/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6608830203
  • Enrollment ID: I20041115000028

Medical Identifiers

Medical identifiers for Paul Michael Hines such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801899695NPI-NPPES
098384306MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery F4085 (Texas)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. Paul Michael Hines allows following entities to bill medicare on his behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091

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. Paul Michael 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 AddressPractice Location Address
Paul Michael Hines, MD
Po Box 555,
Sulphur Springs, TX 75483-0555

Ph: (903) 440-0283
Paul Michael Hines, MD
6851 Texas Highway 154 S,
Sulphur Springs, TX 75482-8305

Ph: (903) 440-0283

Reviews and Comments


Surgery Doctors in Sulphur Springs, TX

Dr. Robert Michael Lenington, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1216 Church St, Sulphur Springs, TX 75482
Phone: 903-885-2820    Fax: 903-885-2989
Scott R Mcdearmont, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 115 Airport Rd, Sulphur Springs, TX 75482
Phone: 903-439-4670    

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.