LEIGH HAINES
NPI 1467030379
Speech-Language Pathologist in Taylor, TX
NPI Status: Active since March 31, 2021
- Individual
- Female
- Years of Experience 29
- Speech-Language Pathologist
- Accepts Insurance
- Accepts Medicare Approved Payment
About LEIGH HAINES
This page provides the complete NPI Profile along with additional information for Leigh Haines, a provider established in Taylor, Texas with a medical specialization in Speech-language Pathologist and more than 29 years of experience. The healthcare provider is registered in the NPI registry with number 1467030379 assigned on March 2021. The practitioner's primary taxonomy code is 235Z00000X with license number 18546 (TX). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1467030379
- Provider Name
- LEIGH HAINES
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1810 OLD GRANGER TAYLOR, TX 76574
- Location Phone
- (512) 352-6337
- Mailing Address
- 4702 DOWNRIDGE CV AUSTIN, TX 78731
- Medical School Name
- OTHER
- Graduation Year
- 1997
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-31-2021
- Last Update Date
- 04-12-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- 18546
- License State
- TX
- Taxonomy Description
- The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Leigh Haines is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 1951768498
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230529000059
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for LEIGH HAINES
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 6 | 7 | 0 | 3 | 0 | 3 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 0 | 3 | 0 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 0 + 3 + 0 + 3 + 1 + 4 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1467030379 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093296303 | EMILY MILLER COTA Individual | Occupational Therapy Assistant | 1810 OLD GRANGER TAYLOR, TX 76574 (518) 224-4665 |
| 1477034767 | JORDAN LYNN MCNEIL Individual | Physical Therapy Assistant | 1810 OLD GRANGER TAYLOR, TX 76574 (512) 352-6337 |
| 1275012114 | VICTORIA NOEL BROUSSARD OTR Individual | Occupational Therapist | 1810 OLD GRANGER TAYLOR, TX 76574 (512) 352-6337 |
| 1124601380 | ROCIO DONIS OTR/L Individual | Occupational Therapist | 1810 OLD GRANGER TAYLOR, TX 76574 (512) 352-6337 |
| 1871633305 | OAKBEND MEDICAL CENTER Organization | Skilled Nursing Facility | 1810 OLD GRANGER TAYLOR, TX 76574 (512) 352-6337 |
| 1063161123 | SOPHIA HALE Individual | Speech-Language Pathologist | 1810 OLD GRANGER TAYLOR, TX 76574 (512) 352-6337 |
| 1972281905 | LIZA MURRAY Individual | Speech-Language Pathologist | 1810 OLD GRANGER TAYLOR, TX 76574 (512) 352-6337 |
| 1730931866 | TARYNE SHEA BETAK Individual | Physical Therapy Assistant | 1810 OLD GRANGER TAYLOR, TX 76574 (512) 352-6337 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467030379, enumerated in the NPI registry as an "individual" on March 31, 2021
The provider is located at 1810 Old Granger Taylor, Tx 76574 and the phone number is (512) 352-6337
The provider's speciality is Speech-Language Pathologist with taxonomy code 235Z00000X
The provider has more than 29 years of experience.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 31, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.