Keith Justin Haynes, NP in Fishersville, VA - Medicare Nurse Practitioner

Keith Justin Haynes, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Fishersville, Virginia. His current practice location is 43 Pinnacle Dr, Fishersville, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 245-7262.

Keith Justin Haynes is licensed to practice in Virginia (license number 0024182258) 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 1093459521.

Contact Information

	Keith Justin Haynes, NP
	43 Pinnacle Dr, Fishersville, VA 22939-2448
	(540) 245-7262
	(540) 245-7054

Map and Direction

Provider's Profile

Full Name	Keith Justin Haynes
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	43 Pinnacle Dr, Fishersville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093459521
Provider Enumeration Date: 04/21/2022
Last Update Date: 04/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5294118022
Enrollment ID: I20220811002064

Medical Identifiers

Medical identifiers for Keith Justin Haynes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093459521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	0024182258 (Virginia)	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. Keith Justin Haynes allows following entities to bill medicare on his behalf.

Entity Name	Orthopedic Associates, Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750330940 PECOS PAC ID: 9032154455 Enrollment ID: O20050627000625

Entity Name	Augusta Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245489590 PECOS PAC ID: 3678632544 Enrollment ID: O20081106000590

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. Keith Justin 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 Address	Practice Location Address
Keith Justin Haynes, NP 241 Northridge Rd, Ruckersville, VA 22968-3642 Ph: (540) 250-4611	Keith Justin Haynes, NP 43 Pinnacle Dr, Fishersville, VA 22939-2448 Ph: (540) 245-7262

Reviews and Comments

Nurse Practitioner Nurses in Fishersville, VA

Marsha A Almarode, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51 Ivy Ridge Ln, Fishersville, VA 22939 Phone: 540-245-7262 Fax: 540-245-7054
Mrs. Amanda Irene Wilson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51 Ivy Ridge Ln, Fishersville, VA 22939 Phone: 540-245-7262 Fax: 540-245-7054
Melody King, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39 Beam Ln, Fishersville, VA 22939 Phone: 540-213-7750
Mr. John Curtis Geary, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-332-4000
Esther Fontenot Barrios, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 57 N Medical Park Dr Ste 101, Fishersville, VA 22939 Phone: 540-245-7520 Fax: 540-245-7521
Lori L Ball, PMHCNS/FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 79 N Medical Park Dr, Fishersville, VA 22939 Phone: 540-213-2525 Fax: 540-213-2555
Emily B Williams, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 70 Medical Center Cir Ste 302, Fishersville, VA 22939 Phone: 540-221-7350 Fax: 540-221-7359

Keith Justin Haynes, NP - Medicare Nurse Practitioner in Fishersville, VA