Jennifer Havrilla, OD - Medicare Optometrist in Fort Collins, CO

Jennifer Havrilla, OD is a medicare enrolled "Optometrist" provider in Fort Collins, Colorado. She went to Pacific University - College Of Optometry and graduated in 2012 and has 12 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Jennifer Havrilla Llc and her current practice location is 425 Crows Nest Ct, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 629-1325.

Jennifer Havrilla is licensed to practice in Colorado (license number 0002925) 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 1134480973.

Contact Information

Jennifer Havrilla, OD
425 Crows Nest Ct,
Fort Collins, CO 80525-3118
(970) 629-1325
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJennifer Havrilla
GenderFemale
SpecialityOptometry
Experience12 Years
Location425 Crows Nest Ct, Fort Collins, Colorado
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:
  • Jennifer Havrilla attended and graduated from Pacific University - College Of Optometry in 2012
  NPI Data:
  • NPI Number: 1134480973
  • Provider Enumeration Date: 06/07/2012
  • Last Update Date: 11/24/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3274783733
  • Enrollment ID: I20121019000128

Medical Identifiers

Medical identifiers for Jennifer Havrilla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134480973NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 0002925 (Colorado)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jennifer Havrilla Llc48809366242

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. Jennifer Havrilla allows following entities to bill medicare on her behalf.
Provider NameJennifer Havrilla Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1114484656
PECOS PAC ID: 4880936624
Enrollment ID: O20190429000126

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. Jennifer Havrilla 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
Jennifer Havrilla, OD
425 Crows Nest Ct,
Fort Collins, CO 80525-3118

Ph: (970) 629-1325
Jennifer Havrilla, OD
425 Crows Nest Ct,
Fort Collins, CO 80525-3118

Ph: (970) 629-1325

Reviews and Comments


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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.