Matt Havens, MSW LCSW, MS PA-C is a medicare enrolled "Physician Assistant - Medical" provider in Bolivar, Missouri. 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.
Healthcare Provider's Profile
| Full Name | Matt Havens |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1300 N Oakland Ave, Bolivar, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Matt Havens attended and graduated from in
NPI Data:
- NPI Number: 1992912216
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 01/27/2017
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Matt Havens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992912216 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 2005029085 (Missouri) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
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 Address | Practice Location Address |
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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 |
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