Stephen Samuel Haverly, in Durango, CO - Medicare Emergency Medicine

Stephen Samuel Haverly, is a medicare enrolled "Emergency Medicine" physician in Durango, Colorado. He graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice The Fort Defiance Indian Hospital Board, Incorporation and his current practice location is 1010 Three Springs Blvd, Durango, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 306-7783.

Stephen Samuel Haverly is licensed to practice in Colorado (license number 42845) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114034550.

Contact Information

	Stephen Samuel Haverly,
	1010 Three Springs Blvd, Durango, CO 81301-8296
	(303) 306-7783
	(303) 306-7753

Map and Direction

Physician's Profile

Full Name	Stephen Samuel Haverly
Gender	Male
Speciality	Emergency Medicine
Experience	22 Years
Location	1010 Three Springs Blvd, Durango, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephen Samuel Haverly graduated from medical school in 2004

NPI Data:

NPI Number: 1114034550
Provider Enumeration Date: 08/23/2006
Last Update Date: 04/03/2014

Medicare PECOS Information:

PECOS PAC ID: 6406842905
Enrollment ID: I20220715000063

Medical Identifiers

Medical identifiers for Stephen Samuel Haverly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114034550	NPI	-	NPPES
33457271	Medicaid	CO
P00678278	Other	CO	PAILROAD MEDICARE PIN
77988230	Medicaid	NM
00A775570	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	42845 (Colorado)	Primary
207P00000X	Emergency Medicine	A77557 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fort Defiance Indian Hospital	Fort defiance, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Fort Defiance Indian Hospital Board, Incorporation	0941336697	150

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. Stephen Samuel Haverly allows following entities to bill medicare on his behalf.

Entity Name	Dhhs Phs Naihs Crownpoint Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393

Entity Name	The Fort Defiance Indian Hospital Board, Incorporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153

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. Stephen Samuel Haverly 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
Stephen Samuel Haverly, Po Box 17752, Denver, CO 80217-0752 Ph: (303) 306-7783	Stephen Samuel Haverly, 1010 Three Springs Blvd, Durango, CO 81301-8296 Ph: (303) 306-7783

Reviews and Comments

Emergency Medicine Doctors in Durango, CO

Charles Eaton Page, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 303-306-7783 Fax: 303-306-7753
Dr. Daniel Seth Caplin, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 72 Suttle St Unit M, Durango, CO 81303 Phone: 970-828-3030 Fax: 970-247-0221
Dr. Mark Wesley Turpen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 450 Prospector Ave, Durango, CO 81301 Phone: 970-759-6454
Randal Ford Jernigan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-764-2100
John William Cartier Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2577 Main Ave, Durango, CO 81301 Phone: 970-247-8283 Fax: 970-259-4403
Tessa Fain, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 523 S Camino Del Rio Ste B, Durango, CO 81303 Phone: 970-247-1970

Stephen Samuel Haverly, - Medicare Emergency Medicine in Durango, CO