Jena Haviland, DO is a medicare enrolled "Surgery" physician in Luke Afb, Arizona. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Banner Physician Specialists Arizona Llc and her current practice location is
7219 N Litchfield Rd, Luke Afb, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 856-9919.
Jena Haviland is licensed to practice in Arizona (license number 008013) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518317213.
Physician's Profile
| Full Name | Jena Haviland |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 9 Years |
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| Location | 7219 N Litchfield Rd, Luke Afb, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jena Haviland graduated from medical school in 2016
NPI Data:
- NPI Number: 1518317213
- Provider Enumeration Date: 06/14/2016
- Last Update Date: 04/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800276858
- Enrollment ID: I20220707003048
Medical Identifiers
Medical identifiers for Jena Haviland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518317213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 008013 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Banner Physician Specialists Arizona Llc | 6204002272 | 234 |
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. Jena Haviland allows following entities to bill medicare on her behalf.
| Entity Name | Banner Physician Specialists Arizona Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
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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. Jena Haviland 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 |
Jena Haviland, DO 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 Ph: () - | Jena Haviland, DO 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 Ph: (623) 856-9919 |
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