Eric B Hines, MD is a medicare enrolled "Family Medicine" physician in Sparta, Missouri. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sgoh Acquisition Inc and his current practice location is
155 Village Dr, Sparta, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 634-4203.
Eric B Hines is licensed to practice in Missouri (license number 2020029244) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689289282.
Physician's Profile
| Full Name | Eric B Hines |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 6 Years |
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| Location | 155 Village Dr, Sparta, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Eric B Hines graduated from medical school in 2020
NPI Data:
- NPI Number: 1689289282
- Provider Enumeration Date: 09/10/2020
- Last Update Date: 09/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 1456735216
- Enrollment ID: I20250818000290
Medical Identifiers
Medical identifiers for Eric B Hines such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689289282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 2020029244 (Missouri) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
|---|
| Amedisys Home Health Of Missouri | Springfield, MO | Home health agency |
| Seasons Hospice, Inc | Springfield, MO | Hospice |
| St Croix Hospice | Bolivar, MO | Hospice |
| Phoenix Home Care And Hospice | Springfield, MO | Hospice |
| Preferred Hospice Of Missouri (southwest), Llc | Ozark, MO | Hospice |
| Haven Hospice | Ozark, MO | Hospice |
| Ozarks Community Hospital Of Gravette | Gravette, AR | Hospital |
| Woodland Care & Rehab Center | Springfield, MO | Nursing home |
| Ozark Care & Rehab Center | Ozark, MO | Nursing home |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sgoh Acquisition Inc | 5092616276 | 95 |
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. Eric B Hines allows following entities to bill medicare on his behalf.
| Entity Name | Sgoh Acquisition Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114924768
PECOS PAC ID: 5092616276
Enrollment ID: O20040205000647 |
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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. Eric B Hines 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 |
|---|
Eric B Hines, MD
155 Village Dr,
Sparta, MO 65753-8104
Ph: (417) 634-4203 | Eric B Hines, MD
155 Village Dr,
Sparta, MO 65753-8104
Ph: (417) 634-4203 |
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