Mrs Susan Fulton Haines, ARNP in Satellite Beach, FL

Mrs Susan Fulton Haines, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Satellite Beach, Florida. Her current practice location is 1186 Highway A1a, Satellite Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 779-3370.

Mrs Susan Fulton Haines is licensed to practice in Florida (license number ARNP 9220722) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992079701.

Contact Information

	Mrs Susan Fulton Haines, ARNP
	1186 Highway A1a, Satellite Beach, FL 32937-2479
	(321) 779-3370
	(321) 622-8616

Map and Direction

Provider's Profile

Full Name	Mrs Susan Fulton Haines
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1186 Highway A1a, Satellite Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992079701
Provider Enumeration Date: 02/27/2012
Last Update Date: 08/01/2016

Medicare PECOS Information:

PECOS PAC ID: 0345403291
Enrollment ID: I20120514000184

Medical Identifiers

Medical identifiers for Mrs Susan Fulton Haines such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992079701	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	ARNP 9220722 (Florida)	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. Mrs Susan Fulton Haines allows following entities to bill medicare on her behalf.

Entity Name	Medical Technology Transfer Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104947217 PECOS PAC ID: 1658265079 Enrollment ID: O20040209000360

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. Mrs Susan Fulton Haines 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
Mrs Susan Fulton Haines, ARNP 1186 Highway A1a, Satellite Beach, FL 32937-2479 Ph: (321) 779-3370	Mrs Susan Fulton Haines, ARNP 1186 Highway A1a, Satellite Beach, FL 32937-2479 Ph: (321) 779-3370

Reviews and Comments

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Mrs Susan Fulton Haines, ARNP - Medicare Nurse Practitioner in Satellite Beach, FL