Dr Keith Bryan Haynie, DNP, RN, CFNP in Espanola, NM

Dr Keith Bryan Haynie, DNP, RN, CFNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Espanola, New Mexico. His current practice location is 206 S Coronado Ave, Espanola, New Mexico. You can reach out to his office (for appointments etc.) via phone at (860) 788-6404.

Dr Keith Bryan Haynie is licensed to practice in New Mexico (license number CNP01098) 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 1033355284.

Contact Information

	Dr Keith Bryan Haynie, DNP, RN, CFNP
	206 S Coronado Ave, Espanola, NM 87532-2792
	(860) 788-6404
	(860) 398-6441

Map and Direction

Provider's Profile

Full Name	Dr Keith Bryan Haynie
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	206 S Coronado Ave, Espanola, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033355284
Provider Enumeration Date: 12/17/2008
Last Update Date: 04/30/2024

Medicare PECOS Information:

PECOS PAC ID: 9436216124
Enrollment ID: I20090325000104

Medical Identifiers

Medical identifiers for Dr Keith Bryan Haynie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033355284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R45728 (New Mexico)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	CNP01098 (New Mexico)	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. Dr Keith Bryan Haynie allows following entities to bill medicare on his behalf.

Entity Name	Meditelecare Of New Mexico, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629639729 PECOS PAC ID: 1254668122 Enrollment ID: O20190815000690

Entity Name	Chrysalis Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982219499 PECOS PAC ID: 6204246580 Enrollment ID: O20201028001924

Entity Name	The Gold Standard Mental Health Institute Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992500094 PECOS PAC ID: 6608397435 Enrollment ID: O20250310000127

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. Dr Keith Bryan Haynie 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
Dr Keith Bryan Haynie, DNP, RN, CFNP Po Box 1595, Middletown, CT 06457-8095 Ph: (860) 788-6404	Dr Keith Bryan Haynie, DNP, RN, CFNP 206 S Coronado Ave, Espanola, NM 87532-2792 Ph: (860) 788-6404

Reviews and Comments

Nurse Practitioner Nurses in Espanola, NM

Bailey Pearson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-367-0340
Mr. Stephen Lynn Mason, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 N Paseo De Onate, Espanola, NM 87532 Phone: 505-747-0081
Kimberly Allen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-753-7111
Jonathan C Peachey, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438
Leticia A Luketich Martinez, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2010 Industrial Park Rd, Espanola, NM 87532 Phone: 505-753-7218 Fax: 505-747-7396
Tiffin Marie Zellers, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1308 N Orchard, Espanola, NM 87532 Phone: 505-927-0157 Fax: 855-928-4040

Dr Keith Bryan Haynie, DNP, RN, CFNP - Medicare Nurse Practitioner in Espanola, NM