Carissa Haines, in Dayton, OH - Medicare Nurse Practitioner

Carissa Haines, is a medicare enrolled "Nurse Practitioner - Family" in Dayton, Ohio. She went to Wright State University Boonshoft School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Premier Health Specialists Inc and her current practice location is 122 Wyoming St, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 223-4461.

Carissa Haines is licensed to practice in Ohio (license number APRN.CNP13356) 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 1346591815.

Contact Information

	Carissa Haines,
	122 Wyoming St, Dayton, OH 45409-2731
	(937) 223-4461
	(937) 449-7603

Map and Direction

Provider's Profile

Full Name	Carissa Haines
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	122 Wyoming St, Dayton, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carissa Haines attended and graduated from Wright State University Boonshoft School Of Medicine in 2012

NPI Data:

NPI Number: 1346591815
Provider Enumeration Date: 09/25/2012
Last Update Date: 03/23/2022

Medicare PECOS Information:

PECOS PAC ID: 1557645355
Enrollment ID: I20170608001101

Medical Identifiers

Medical identifiers for Carissa Haines such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346591815	NPI	-	NPPES
0294150	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	COA.13356-NP (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN.CNP13356 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Miami Valley Hospital	Dayton, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Health Specialists Inc	5597708594	390

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. Carissa Haines allows following entities to bill medicare on her behalf.

Entity Name	Premier Health Specialists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010

Entity Name	John E Murphy Iii
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174627657 PECOS PAC ID: 3274684766 Enrollment ID: O20090623000452

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. Carissa Haines 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
Carissa Haines, 3170 Kettering Blvd Bldg B, Moraine, OH 45439-1924 Ph: (937) 991-3188	Carissa Haines, 122 Wyoming St, Dayton, OH 45409-2731 Ph: (937) 223-4461

Reviews and Comments

Nurse Practitioner Nurses in Dayton, OH

David Lee Evers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 122 Wyoming St, Dayton, OH 45409 Phone: 937-223-4461 Fax: 937-449-7603
Kimberly Kay Myers, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 W Elmwood Dr, Suite 1000, Dayton, OH 45459 Phone: 937-224-8200 Fax: 937-224-1770
Joni Abramczyk, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 Yankee Park Pl, Dayton, OH 45458 Phone: 937-439-4949
Angela Marie Thompson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7677 Yankee St Ste 110, Dayton, OH 45459 Phone: 800-824-9861
Rosanne Cecilia Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4000 Fax: 937-641-4500
Kimberly Wade Young, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8120 Garnet Dr, Dayton, OH 45458 Phone: 833-510-4357
Mr. Kenneth Levi Moore Iii, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5981 Far Hills Ave, Dayton, OH 45429 Phone: 937-438-5954

Carissa Haines, - Medicare Nurse Practitioner in Dayton, OH