Brian L Haverdink, NP is a medicare enrolled "Internal Medicine - Cardiovascular Disease" in Augusta, Georgia. He graduated from nursing school in 1999 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Piedmont Cardiology Of Atlanta, Llc and his current practice location is
2258 Wrightsboro Rd Ste 400, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 724-4400.
Brian L Haverdink is licensed to practice in Georgia (license number RN330264) 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 1487600896.
Provider's Profile
| Full Name | Brian L Haverdink |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 26 Years |
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| Location | 2258 Wrightsboro Rd Ste 400, Augusta, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brian L Haverdink graduated from nursing school in 1999
NPI Data:
- NPI Number: 1487600896
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 10/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062426141
- Enrollment ID: I20240830002158
Medical Identifiers
Medical identifiers for Brian L Haverdink such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487600896 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | RN330264 (Georgia) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | RN330264 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Piedmont Cardiology Of Atlanta, Llc | 0345321691 | 412 |
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. Brian L Haverdink allows following entities to bill medicare on his behalf.
| Entity Name | Piedmont Cardiology Of Atlanta, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275729691
PECOS PAC ID: 0345321691
Enrollment ID: O20080114000153 |
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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. Brian L Haverdink 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 |
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Brian L Haverdink, NP
742 William Ave,
Appling, GA 30802-1819
Ph: () - | Brian L Haverdink, NP
2258 Wrightsboro Rd Ste 400,
Augusta, GA 30904-4788
Ph: (706) 724-4400 |
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