Jennifer B Haynes, FNP - Medicare Nurse Practitioner in Myrtle Beach, SC

Jennifer B Haynes, FNP is a medicare enrolled "Nurse Practitioner - Family" in Myrtle Beach, South Carolina. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Little River Medical Center Inc and her current practice location is 3236 Holmestown Rd, Suite E1, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 663-8000.

Jennifer B Haynes is licensed to practice in South Carolina (license number 4031) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235304023.

Contact Information

Jennifer B Haynes, FNP
3236 Holmestown Rd, Suite E1,
Myrtle Beach, SC 29588-7495
(843) 663-8000
Not Available

Map and Direction




Provider's Profile

Full NameJennifer B Haynes
GenderFemale
SpecialityNurse Practitioner
Experience25 Years
Location3236 Holmestown Rd, Myrtle Beach, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer B Haynes graduated from nursing school in 1999
  NPI Data:
  • NPI Number: 1235304023
  • Provider Enumeration Date: 04/23/2008
  • Last Update Date: 04/01/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3072692466
  • Enrollment ID: I20110316000389

Medical Identifiers

Medical identifiers for Jennifer B Haynes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235304023NPI-NPPES
4031OtherSCSC STATE LICENSE
RN122940OtherGASTATE LICENSE
7004853MedicaidNC
NP0413MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN122940 (Georgia)Secondary
363LF0000XNurse Practitioner - Family 4031 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grand Strand Regional Medical CenterMyrtle beach, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Little River Medical Center Inc296130931536

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. Jennifer B Haynes allows following entities to bill medicare on her behalf.
Entity NameLittle River Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629021076
PECOS PAC ID: 2961309315
Enrollment ID: O20031215000742
Entity NameLittle River Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346638483
PECOS PAC ID: 2961309315
Enrollment ID: O20170510000410
Entity NameLittle River Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184783284
PECOS PAC ID: 2961309315
Enrollment ID: O20170523000231
Entity NameLittle River Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619100096
PECOS PAC ID: 2961309315
Enrollment ID: O20170523001559
Entity NameLittle River Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508120619
PECOS PAC ID: 2961309315
Enrollment ID: O20170524001573
Entity NameLittle River Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669535225
PECOS PAC ID: 2961309315
Enrollment ID: O20170601000080

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. Jennifer B Haynes 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
Jennifer B Haynes, FNP
Po Box 547,
Little River, SC 29566-0547

Ph: (843) 663-8000
Jennifer B Haynes, FNP
3236 Holmestown Rd, Suite E1,
Myrtle Beach, SC 29588-7495

Ph: (843) 663-8000

Reviews and Comments


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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.