Matt Havens, MSW LCSW, MS PA-C is a medicare enrolled "Physician Assistant - Medical" provider in Bolivar, Missouri. His current practice location is
1300 N Oakland Ave, Suite A, Bolivar, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 326-7676.
Matt Havens is licensed to practice in * (Not Available) (license number ) 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 1992912216.
Healthcare Provider's Profile
| Full Name | Matt Havens |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 1300 N Oakland Ave, Bolivar, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992912216
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 01/27/2017
Medicare PECOS Information:
- PECOS PAC ID: 2365540549
- Enrollment ID: I20170327000198
Medical Identifiers
Medical identifiers for Matt Havens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992912216 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 2005029085 (Missouri) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
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. Matt Havens 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 |
Matt Havens, MSW LCSW, MS PA-C 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 326-6501 | Matt Havens, MSW LCSW, MS PA-C 1300 N Oakland Ave, Suite A, Bolivar, MO 65613-3018 Ph: (417) 326-7676 |
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