Paul D Havenstein, MD | |
15294 101st Trl N, Jupiter, FL 33478-6846 | |
(313) 363-1269 | |
Not Available |
Full Name | Paul D Havenstein |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 33 Years |
Location | 15294 101st Trl N, Jupiter, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053330571 | NPI | - | NPPES |
4088643-10 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4301058243 (Michigan) | Secondary |
207L00000X | Anesthesiology | 135335 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sheridan Healthcorp Inc | 3173429693 | 866 |
Entity Name | Sheridan Healthcorp Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
Entity Name | Anesthesiology Professional Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902856891 PECOS PAC ID: 4688577141 Enrollment ID: O20040130000927 |
Entity Name | Knd Development 59 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245569870 PECOS PAC ID: 3678602802 Enrollment ID: O20100908000056 |
Entity Name | East Coast Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538641352 PECOS PAC ID: 3072851914 Enrollment ID: O20190219000845 |
Mailing Address | Practice Location Address |
---|---|
Paul D Havenstein, MD 15294 101st Trl N, Jupiter, FL 33478-6846 Ph: (313) 363-1269 | Paul D Havenstein, MD 15294 101st Trl N, Jupiter, FL 33478-6846 Ph: (313) 363-1269 |
Mr. Matteo Rosselli, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1210 So Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-649-3138 Fax: 561-649-3029 | |
Jannette Mills, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 851 W Indiantown Rd, Jupiter, FL 33458 Phone: 561-747-1232 Fax: 561-747-1251 | |
Mr. Lawrence P Deziel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2055 Military Trl, Jupiter, FL 33458 Phone: 561-741-1705 | |
Debra M Hurwitz, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1210 S Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-263-5005 | |
Mr. Julio Rodriguez, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1210 So Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-649-3138 Fax: 561-649-3029 | |
Michael J Tuohy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2055 Military Trl, Jupiter, FL 33458 Phone: 561-741-1705 |