Dr Keith Bryan Haynie, DNP, RN, CFNP - Medicare Nurse Practitioner in Espanola, NM

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Dr Keith Bryan Haynie, DNP, RN, CFNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Espanola, New Mexico. His current practice location is 206 S Coronado Ave, Espanola, New Mexico. You can reach out to his office (for appointments etc.) via phone at (860) 788-6404.

Dr Keith Bryan Haynie is licensed to practice in New Mexico (license number CNP01098) 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 1033355284.

Contact Information

Dr Keith Bryan Haynie, DNP, RN, CFNP
206 S Coronado Ave,
Espanola, NM 87532-2792
(860) 788-6404
(860) 398-6441

Map and Direction




Provider's Profile

Full NameDr Keith Bryan Haynie
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location206 S Coronado Ave, Espanola, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033355284
  • Provider Enumeration Date: 12/17/2008
  • Last Update Date: 04/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9436216124
  • Enrollment ID: I20090325000104

Medical Identifiers

Medical identifiers for Dr Keith Bryan Haynie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033355284NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R45728 (New Mexico)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health CNP01098 (New Mexico)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. Dr Keith Bryan Haynie allows following entities to bill medicare on his behalf.
Entity NameApp Of New Mexico Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891169942
PECOS PAC ID: 7416259445
Enrollment ID: O20160108000220
Entity NameMeditelecare Of New Mexico, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629639729
PECOS PAC ID: 1254668122
Enrollment ID: O20190815000690

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. Dr Keith Bryan Haynie 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
Dr Keith Bryan Haynie, DNP, RN, CFNP
Po Box 1595,
Middletown, CT 06457-8095

Ph: (860) 788-6404		Dr Keith Bryan Haynie, DNP, RN, CFNP
206 S Coronado Ave,
Espanola, NM 87532-2792

Ph: (860) 788-6404

Reviews and Comments


Nurse Practitioner Nurses in Espanola, NM

Bailey Pearson, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1010 Spruce St, Espanola, NM 87532
Phone: 505-367-0340    
Mr. Stephen Lynn Mason, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1200 N Paseo De Onate, Espanola, NM 87532
Phone: 505-747-0081    
Kimberly Allen,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Spruce St, Espanola, NM 87532
Phone: 505-753-7111    
Jonathan C Peachey, CFNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532
Phone: 505-753-7111    Fax: 505-753-4438
Leticia A Luketich Martinez, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2010 Industrial Park Rd, Espanola, NM 87532
Phone: 505-753-7218    Fax: 505-747-7396
Tiffin Marie Zellers, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1308 N Orchard, Espanola, NM 87532
Phone: 505-927-0157    Fax: 855-928-4040

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.