Matt Havens, MSW LCSW, MS PA-C - Medicare Physician Assistant in Bolivar, MO

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Matt Havens, MSW LCSW, MS PA-C is a medicare enrolled "Physician Assistant - Medical" in Bolivar, Missouri. He graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Citizens Memorial Healthcare and his current practice location is 1300 N Oakland Ave, Suite A, Bolivar, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 326-7676.

Matt Havens is licensed to practice in * (Not Available) (license number ) 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 1992912216.

Contact Information

Matt Havens, MSW LCSW, MS PA-C
1300 N Oakland Ave, Suite A,
Bolivar, MO 65613-3018
(417) 326-7676
(417) 326-3939

Map and Direction




Provider's Profile

Full NameMatt Havens
GenderMale
SpecialityPhysician Assistant
Experience10 Years
Location1300 N Oakland Ave, Bolivar, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Matt Havens graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1992912216
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 01/27/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2365540549
  • Enrollment ID: I20170327000198

Medical Identifiers

Medical identifiers for Matt Havens such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992912216NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (Not Available))Primary
1041C0700XSocial Worker - Clinical 2005029085 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Citizens Memorial HospitalBolivar, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Citizens Memorial Healthcare4183528169144

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. Matt Havens allows following entities to bill medicare on his behalf.
Entity NameCitizens Memorial Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568566131
PECOS PAC ID: 4183528169
Enrollment ID: O20040315001374

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. Matt Havens 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
Matt Havens, MSW LCSW, MS PA-C
1500 N Oakland Ave,
Bolivar, MO 65613-3011

Ph: (417) 326-6501		Matt Havens, MSW LCSW, MS PA-C
1300 N Oakland Ave, Suite A,
Bolivar, MO 65613-3018

Ph: (417) 326-7676

Reviews and Comments


Physician Assistant Nurses in Bolivar, MO

Mr. Scott Leslie Dennis, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1500 North Oakland Ave, Citizens Memorial Hospital, Bolivar, MO 65613
Phone: 417-326-6000    
Chad Lee Carrel, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1551 N. Oakland, Bolivar, MO 65613
Phone: 417-326-8700    Fax: 417-777-7881
Mrs. Shannon M. Hauschildt, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1155 W. Parkview St., Suite 2 D, Bolivar, MO 65613
Phone: 417-777-2663    Fax: 417-777-2666
Stephanie Marie Aug, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613
Phone: 417-326-6000    
Jacob (jake) William Condren, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1155 W Parkview St, Suite 2d, Bolivar, MO 65613
Phone: 417-777-2663    Fax: 417-777-2666
Ellie Renee Duckworth, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 2230 S Springfield Ave Ste H-j, Bolivar, MO 65613
Phone: 417-777-4800    
Retha Marceleen Melton, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1155 W. Parkview St, Suite 2d, Bolivar, MO 65613
Phone: 417-777-2663    Fax: 417-777-2666

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.