Marc E Hines, MD - Medicare Neurology in Ottumwa, IA

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Marc E Hines, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Ottumwa, Iowa. He went to Baylor College Of Medicine and graduated in 1979 and has 46 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Covenant Medical Center Inc and his current practice location is 1313 N Court St, Suite B, Ottumwa, Iowa. You can reach out to his office (for appointments etc.) via phone at (641) 682-4978.

Marc E Hines is licensed to practice in Iowa (license number 23551) 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 1265434674.

Contact Information

Marc E Hines, MD
1313 N Court St, Suite B,
Ottumwa, IA 52501-1911
(641) 682-4978
(641) 682-0722

Map and Direction




Physician's Profile

Full NameMarc E Hines
GenderMale
SpecialityNeurology
Experience46 Years
Location1313 N Court St, Ottumwa, Iowa
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marc E Hines attended and graduated from Baylor College Of Medicine in 1979
  NPI Data:
  • NPI Number: 1265434674
  • Provider Enumeration Date: 08/15/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8820988249
  • Enrollment ID: I20040618001337

Medical Identifiers

Medical identifiers for Marc E Hines such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265434674NPI-NPPES
3205153MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 23551 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercyone Waterloo Medical CenterWaterloo, IAHospital
Sartori Memorial Hospital, IncCedar falls, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Covenant Medical Center Inc0244148732214

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. Marc E Hines allows following entities to bill medicare on his behalf.
Entity NameCovenant Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548288160
PECOS PAC ID: 0244148732
Enrollment ID: O20031111000534

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. Marc E 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 AddressPractice Location Address
Marc E Hines, MD
1313 N Court St, Suite B,
Ottumwa, IA 52501-1911

Ph: (641) 682-4978		Marc E Hines, MD
1313 N Court St, Suite B,
Ottumwa, IA 52501-1911

Ph: (641) 682-4978

Reviews and Comments


Psychiatry & Neurology Doctors in Ottumwa, IA

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Dr. Cyndi J Mccormick, D.O.
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Dr. Joseph Hime Iii, M.D.
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Phone: 641-682-7511    
Dr. Ronald Ray Berges, DO
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Practice Location: 1112 N Van Buren Ave, Ottumwa, IA 52501
Phone: 641-684-7744    

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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