Mary M Haynes, APRN, FNP-C - Medicare Nurse Practitioner in Dayton, OH

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Mary M Haynes, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Dayton, Ohio. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kettering Independent Medical Group Inc and her current practice location is 405 W Grand Ave, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 723-3276.

Mary M Haynes is licensed to practice in Ohio (license number RN.284269) 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 1528450293.

Contact Information

Mary M Haynes, APRN, FNP-C
405 W Grand Ave,
Dayton, OH 45405-7538
(937) 723-3276
(937) 723-3277

Map and Direction




Provider's Profile

Full NameMary M Haynes
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location405 W Grand Ave, Dayton, Ohio
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:
  • Mary M Haynes graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1528450293
  • Provider Enumeration Date: 03/04/2015
  • Last Update Date: 05/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1254659071
  • Enrollment ID: I20150407001885

Medical Identifiers

Medical identifiers for Mary M Haynes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528450293NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN.284269 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grandview And Southview HospitalsDayton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936577

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. Mary M Haynes allows following entities to bill medicare on her behalf.
Entity NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425
Entity NameCg Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982903951
PECOS PAC ID: 6608052196
Enrollment ID: O20110518000216
Entity NameApp Of Ohio Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619418696
PECOS PAC ID: 6103102959
Enrollment ID: O20170411001544
Entity NameAdfinitas Health Of Ohio, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881200475
PECOS PAC ID: 5597185926
Enrollment ID: O20201023000242

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. Mary M Haynes 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
Mary M Haynes, APRN, FNP-C
1 Prestige Pl Ste 550,
Miamisburg, OH 45342-6115

Ph: (937) 762-1310		Mary M Haynes, APRN, FNP-C
405 W Grand Ave,
Dayton, OH 45405-7538

Ph: (937) 723-3276

Reviews and Comments


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Phone: 937-438-5954    

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).

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