| Jessica Haviland, | |
|
1800 E. State Road, Shelbyville, IN 46176-1846 | |
| (931) 253-1110 | |
| Not Available |
| Full Name | Jessica Haviland |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1800 E. State Road, Shelbyville, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538792668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71009804A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71009804A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Medical Clinic Pllc | 5395881841 | 680 |
| Recover Together Inc | 7810247533 | 116 |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491 |
| Entity Name | Recover Together Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891102497 PECOS PAC ID: 7810247533 Enrollment ID: O20201029002221 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Haviland, 500 E Baili Ct, Greensburg, IN 47240-8686 Ph: (812) 614-3248 | Jessica Haviland, 1800 E. State Road, Shelbyville, IN 46176-1846 Ph: (931) 253-1110 |
Ann Elizabeth Klosterkemper, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2158 Intelliplex Dr Ste 100, Shelbyville, IN 46176 Phone: 174-211-9803 Fax: 317-398-1822 | |
Tamara Reed, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 Intelliplex Dr Ste 260, Shelbyville, IN 46176 Phone: 317-398-0121 Fax: 317-398-0538 | |
Leann Michelle Toliver, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2455 Intelliplex Dr, Shelbyville, IN 46176 Phone: 317-392-3211 | |
Mary A Wentzel, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 Intelliplex Dr Ste 220, Shelbyville, IN 46176 Phone: 317-893-1900 Fax: 317-398-1849 | |
Amanda Bratton, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 Intelliplex Dr Ste 205, Shelbyville, IN 46176 Phone: 317-421-1914 Fax: 317-398-1853 | |
Karen Patterson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 Intelliplex Dr, Suite 200, Shelbyville, IN 46176 Phone: 317-398-0193 | |
Mrs. Regina Sue Kuhn, MSN APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 W Rampart St Ste 250, Shelbyville, IN 46176 Phone: 317-398-7644 |