Jacqueline M Havriliak, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Johnson City, NY

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Jacqueline M Havriliak, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Johnson City, New York. She graduated from nursing school in 1991 and has 35 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Bryn Mawr Medical Specialists Association and her current practice location is 156 Corliss Ave, Suite 107, Johnson City, New York. You can reach out to her office (for appointments etc.) via phone at (607) 763-6735.

Jacqueline M Havriliak is licensed to practice in Pennsylvania (license number RN246320L) 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 1063457760.

Contact Information

Jacqueline M Havriliak, CRNA
156 Corliss Ave, Suite 107,
Johnson City, NY 13790-2060
(607) 763-6735
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline M Havriliak
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience35 Years
Location156 Corliss Ave, Johnson City, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline M Havriliak graduated from nursing school in 1991
  NPI Data:
  • NPI Number: 1063457760
  • Provider Enumeration Date: 06/17/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1850293457
  • Enrollment ID: I20040123000622

Medical Identifiers

Medical identifiers for Jacqueline M Havriliak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063457760NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN246320L (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bryn Mawr Medical Specialists Association4183610934125

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. Jacqueline M Havriliak allows following entities to bill medicare on her behalf.
Entity NameAssociates In Anesthesia, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942281191
PECOS PAC ID: 9335052034
Enrollment ID: O20031124000710
Entity NameBryn Mawr Medical Specialists Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841226099
PECOS PAC ID: 4183610934
Enrollment ID: O20040426000467

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. Jacqueline M Havriliak 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 AddressPractice Location Address
Jacqueline M Havriliak, CRNA
156 Corliss Ave, Suite 107,
Johnson City, NY 13790-2060

Ph: (607) 763-6735		Jacqueline M Havriliak, CRNA
156 Corliss Ave, Suite 107,
Johnson City, NY 13790-2060

Ph: (607) 763-6735

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Johnson City, NY

Todd M Kubesh, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 57 N Harrison St, Johnson City, NY 13790
Phone: 607-763-6000    
Ms. Ling-ling Shih, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 156 Corliss Ave, Suite 107, Johnson City, NY 13790
Phone: 607-763-6735    Fax: 607-763-6736
Louise Parks, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 156 Corliss Ave Ste 107, Johnson City, NY 13790
Phone: 607-763-6735    Fax: 607-763-6736
James Marra, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 156 Corliss Ave, Suite 107, Johnson City, NY 13790
Phone: 607-763-6735    
Ryan T Pickett, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 57 N Harrison St, Johnson City, NY 13790
Phone: 607-763-6000    
Adam Scotchlas, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 156 Corliss Ave Apt 107, Johnson City, NY 13790
Phone: 607-763-6735    Fax: 607-763-6736

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.