Mr Theodore David Haynes Jr, CRNA - Medicare Nurse Anesthetist, Certified Registered in Wichita Falls, TX

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Mr Theodore David Haynes Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Wichita Falls, Texas. His current practice location is 1600 11th St, Dept. Anesthesia, Wichita Falls, Texas. You can reach out to his office (for appointments etc.) via phone at (940) 764-3390.

Mr Theodore David Haynes Jr is licensed to practice in Texas (license number 549839) 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 1144294158.

Contact Information

Mr Theodore David Haynes Jr, CRNA
1600 11th St, Dept. Anesthesia,
Wichita Falls, TX 76301-4300
(940) 764-3390
(940) 764-3391

Map and Direction




Provider's Profile

Full NameMr Theodore David Haynes Jr
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1600 11th St, Wichita Falls, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144294158
  • Provider Enumeration Date: 02/15/2006
  • Last Update Date: 11/19/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9739173253
  • Enrollment ID: I20060207000407

Medical Identifiers

Medical identifiers for Mr Theodore David Haynes Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144294158NPI-NPPES
86602UOtherTXBCBSTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 549839 (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. Mr Theodore David Haynes Jr allows following entities to bill medicare on his behalf.
Entity NameYoungs Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922178599
PECOS PAC ID: 2163524992
Enrollment ID: O20120104000614
Entity NameFalls Town Anesthesia Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447685466
PECOS PAC ID: 1759517238
Enrollment ID: O20131112001671

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. Mr Theodore David Haynes Jr 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
Mr Theodore David Haynes Jr, CRNA
2959 S Shepherds Gln,
Wichita Falls, TX 76308-5450

Ph: (940) 691-1151		Mr Theodore David Haynes Jr, CRNA
1600 11th St, Dept. Anesthesia,
Wichita Falls, TX 76301-4300

Ph: (940) 764-3390

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Wichita Falls, TX

Marsc Danielle Mertilus, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1600 11th St, Wichita Falls, TX 76301
Phone: 940-764-7000    
Amy Renee Scheriger, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1600 11th St, Wichita Falls, TX 76301
Phone: 940-764-7000    
Jesse Lee Jones, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1600 11th St, Wichita Falls, TX 76301
Phone: 940-764-7000    
Miss Wendy Noles, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 10 Copper Kettle Ct, Wichita Falls, TX 76308
Phone: 281-682-2295    
Harley Michelle Dowdy, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1600 8th St, Wichita Falls, TX 76301
Phone: 940-764-7000    
Mr. Joseph Peter Mozur Iii, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1600 11th St, Wichita Falls, TX 76301
Phone: 940-764-7000    

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.

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