Jackson Lee Haverly, MD - Psychiatry & Neurology in Kent, WA

  1. Home
  2. Psychiatry & Neurology
  3. WA
  4. Kent
Jackson Lee Haverly, MD is a Psychiatry & Neurology - Psychiatry physician based in Kent, Washington. Jackson Lee Haverly is licensed to practice in Washington (license number 00030718) and his current practice location is 22410 Benson Rd Se, Benson Heights Rehab Center, Kent, Washington. He can be reached at his office (for appointments etc.) via phone at (206) 286-8352.

NPI number for Jackson Lee Haverly is 1942338785 and his current mailing address is 10611 Canyon Rd E, Pmb 322, Puyallup, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942338785.

Contact Information

Jackson Lee Haverly, MD
22410 Benson Rd Se, Benson Heights Rehab Center,
Kent, WA 98031-9509
(206) 286-8352
Not Available

Map and Direction




Physician's Profile

Full NameJackson Lee Haverly
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location22410 Benson Rd Se, Kent, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942338785
  • Provider Enumeration Date: 03/02/2007
  • Last Update Date: 07/29/2008

Medical Identifiers

Medical identifiers for Jackson Lee Haverly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942338785NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 00030718 (Washington)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. Jackson Lee Haverly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackson Lee Haverly, MD
10611 Canyon Rd E, Pmb 322,
Puyallup, WA 98373-4256

Ph: (206) 286-8352		Jackson Lee Haverly, MD
22410 Benson Rd Se, Benson Heights Rehab Center,
Kent, WA 98031-9509

Ph: (206) 286-8352

Reviews and Comments


Psychiatry & Neurology Doctors in Kent, WA

Brian Pham, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 325 W Gowe St, Kent, WA 98032
Phone: 253-833-7444    
Mary Ellen Hargrave, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 325 W Gowe St, Kent, WA 98032
Phone: 253-833-7444    Fax: 253-735-1513

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.