| Dr Jennifer Lynn Havener, MD | |
|
333 E County Line Rd Ste B, Greenwood, IN 46143 | |
| (317) 497-6333 | |
| (317) 497-6334 |
| Full Name | Dr Jennifer Lynn Havener |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 333 E County Line Rd Ste B, Greenwood, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043420078 | NPI | - | NPPES |
| 200913440 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01065231A (Indiana) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01065231A (Indiana) | Primary |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Lynn Havener, MD 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: (317) 621-7547 | Dr Jennifer Lynn Havener, MD 333 E County Line Rd Ste B, Greenwood, IN 46143 Ph: (317) 497-6333 |
Dr. James A. Shmalo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 373 Meridian Parke Ln, Suite C-1, Greenwood, IN 46142 Phone: 317-882-0136 Fax: 317-882-3123 | |
Dr. Mary Elise Hodson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 900 Averitt Rd, Greenwood, IN 46143 Phone: 317-865-3115 Fax: 317-885-1429 | |
Dr. Megan Engle Ciaccio, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 S Us 31, Greenwood, IN 46143 Phone: 317-736-5515 Fax: 317-738-0198 | |
Melissa Marie Michels, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 333 E County Line Rd Ste B, Greenwood, IN 46143 Phone: 317-497-6333 Fax: 317-497-6334 | |
Kathryn Elaine Kasyjanski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 333 E County Line Rd, Suite B, Greenwood, IN 46143 Phone: 317-497-6333 Fax: 317-497-6334 | |
Dr. Rachael Susan Meadows, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3000 S State Road 135, Suite 310, Greenwood, IN 46143 Phone: 317-497-2400 Fax: 317-497-2515 |