Nicole M Havel, PA is a medicare enrolled "Physician Assistant" in Imperial, Nebraska. Her current practice location is
600 W 12th St, Imperial, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(308) 882-7299.
Nicole M Havel is licensed to practice in Nebraska (license number 1224) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285684779.
Provider's Profile
| Full Name | Nicole M Havel |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 600 W 12th St, Imperial, Nebraska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285684779
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 09/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 0840200820
- Enrollment ID: I20060504000809
Medical Identifiers
Medical identifiers for Nicole M Havel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1285684779 | NPI | - | NPPES |
| 38608 | Other | NE | BCBS |
| 249920 | Other | | MIDLANDS CHOICE/MUT OMA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 1224 (Nebraska) | Primary |
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. Nicole M Havel allows following entities to bill medicare on her behalf.
| Entity Name | Dundy County Hospital |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1093802688 PECOS PAC ID: 1153239777 Enrollment ID: O20071128000881 |
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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. Nicole M Havel 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 |
Nicole M Havel, PA 600 W 12th St, Imperial, NE 69033-3131 Ph: (308) 882-7299 | Nicole M Havel, PA 600 W 12th St, Imperial, NE 69033 Ph: (308) 882-7299 |
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