Casey Banahan Baine, ACAGNP - Medicare Nurse Practitioner in Jackson, MS

Casey Banahan Baine, ACAGNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Jackson, Mississippi. She went to University Of South Alabama College Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St. Dominic Jackson Memorial, Wound Management Specialists Llc and her current practice location is 969 Lakeland Dr, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 200-3631.

Casey Banahan Baine is licensed to practice in Mississippi (license number 904142) 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 1245835263.

Contact Information

Casey Banahan Baine, ACAGNP
969 Lakeland Dr,
Jackson, MS 39216-4606
(601) 200-3631
(601) 200-0159

Map and Direction




Provider's Profile

Full NameCasey Banahan Baine
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location969 Lakeland Dr, Jackson, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Casey Banahan Baine attended and graduated from University Of South Alabama College Of Medicine in 2020
  NPI Data:
  • NPI Number: 1245835263
  • Provider Enumeration Date: 11/30/2020
  • Last Update Date: 11/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6709290950
  • Enrollment ID: I20210128002401

Medical Identifiers

Medical identifiers for Casey Banahan Baine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245835263NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 904142 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Dominic-jackson Memorial HospitalJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. Dominic Jackson Memorial438553184741
Wound Management Specialists Llc519305636494

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. Casey Banahan Baine allows following entities to bill medicare on her behalf.
Entity NameSt. Dominic Jackson Memorial
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235173691
PECOS PAC ID: 4385531847
Enrollment ID: O20040301000818
Entity NameHealthcare Plus Limited Liability Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063927465
PECOS PAC ID: 5698038610
Enrollment ID: O20180404001439
Entity NameWound Management Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972150084
PECOS PAC ID: 5193056364
Enrollment ID: O20191021000339

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. Casey Banahan Baine 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
Casey Banahan Baine, ACAGNP
5959 S Sherwood Forest Blvd,
Baton Rouge, LA 70816-6038

Ph: (601) 200-3631
Casey Banahan Baine, ACAGNP
969 Lakeland Dr,
Jackson, MS 39216-4606

Ph: (601) 200-3631

Reviews and Comments


Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C
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Caryl P. Sumrall, FNP
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Kathryn L. Navarro, NP
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Practice Location: 1850 Chadwick Dr, Jackson, MS 39204
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Mr. Bradford Steele Martin, FNP-C
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Emily Brumfield, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 2500 North State Street, Jackson, MS 39216
Phone: 601-984-5500    Fax: 601-984-5503
Mrs. Tiffany Griffin,
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Medicare: Accepting Medicare Assignments
Practice Location: 3450 Highway 80 West, Jackson, MS 39209
Phone: 601-321-2400    

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.