Dr Dale E Haverstick, MD is a medicare enrolled "Family Medicine" physician in Eminence, Missouri. He went to Saint Louis University School Of Medicine and graduated in 1992 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Clinic Springfield Communities and his current practice location is
Highway 19 South, Eminence, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 226-5401.
Dr Dale E Haverstick is licensed to practice in Missouri (license number 109158) 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 1902983075.
Physician's Profile
Full Name | Dr Dale E Haverstick |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 33 Years |
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Location | Highway 19 South, Eminence, 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. |
Medical Education and Training:
- Dr Dale E Haverstick attended and graduated from Saint Louis University School Of Medicine in 1992
NPI Data:
- NPI Number: 1902983075
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 07/17/2008
Medicare PECOS Information:
- PECOS PAC ID: 4183700883
- Enrollment ID: I20080320000410
Medical Identifiers
Medical identifiers for Dr Dale E Haverstick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902983075 | NPI | - | NPPES |
208585935 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 109158 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mercy Clinic Springfield Communities | 7416865845 | 933 |
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. Dr Dale E Haverstick allows following entities to bill medicare on his behalf.
Entity Name | Mercy Clinic Springfield Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
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Entity Name | Mercy Clinic Springfield Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
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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. Dr Dale E Haverstick 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 |
Dr Dale E Haverstick, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Dr Dale E Haverstick, MD Highway 19 South, Eminence, MO 65466 Ph: (573) 226-5401 |
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