| Justin Haynes, MD | |
|
6451 Brentwood Stair Rd, #200, Fort Worth, TX 76112-3200 | |
| (817) 469-9700 | |
| Not Available |
| Full Name | Justin Haynes |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 16 Years |
| Location | 6451 Brentwood Stair Rd, Fort Worth, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760619027 | NPI | - | NPPES |
| 5921105 | Medicaid | NC | |
| 172TC | Other | NC | BCBSNC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | P9585 (Texas) | Primary |
| 207P00000X | Emergency Medicine | 2012-01485 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Via Christi Hospital-wichita | Wichita, KS | Hospital |
| Via Christi Hospital Wichita St Teresa, Inc | Wichita, KS | Hospital |
| Hutchinson Regional Medical Center Inc | Hutchinson, KS | Hospital |
| Rock Regional Hospital, Llc | Derby, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hutchinson Regional Medical Center Inc | 0648181198 | 122 |
| Cep America - Kansas Llc | 3971814286 | 48 |
| Entity Name | Hutchinson Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972605285 PECOS PAC ID: 0648181198 Enrollment ID: O20040119000578 |
| Entity Name | Cep America - Kansas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659768125 PECOS PAC ID: 3971814286 Enrollment ID: O20150612000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Haynes, MD 1429 Indian Spgs, Haynes Medicine Pllc, Carrollton, TX 75007-6001 Ph: (252) 412-5573 | Justin Haynes, MD 6451 Brentwood Stair Rd, #200, Fort Worth, TX 76112-3200 Ph: (817) 469-9700 |
Anna Burns Schroeder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6451 Brentwood Stair Rd, Suite 202, Fort Worth, TX 76112 Phone: 713-858-4684 | |
Joey Mayor, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 214-712-2074 Fax: 214-712-2444 | |
Don Stewart Harper, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112 Phone: 817-507-1770 Fax: 817-507-1771 | |
Dr. Britton Michael Devillier, M.D., M.P.H. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-4095 Fax: 682-885-7499 | |
Lacey A Mcdaniel, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7001 Granbury Rd, Fort Worth, TX 76133 Phone: 817-346-1925 Fax: 817-292-7237 | |
Dr. Rafael Andres Raya, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 N Tarrant Pkwy, Fort Worth, TX 76177 Phone: 817-639-1000 | |
Nathaniel Graham Lane, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112 Phone: 720-201-9397 |