Dr Jack Havdala, MD | |
201 E Oak Ave, Jonesboro, AR 72401 | |
(870) 935-6729 | |
(870) 268-4408 |
Full Name | Dr Jack Havdala |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 34 Years |
Location | 201 E Oak Ave, Jonesboro, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477558955 | NPI | - | NPPES |
E3961 | Other | AR | STATE LICENSE |
32638100 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | E3961 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Bernards Medical Center | Jonesboro, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Bernards Physician Clinics Inc | 7012311269 | 173 |
Cardiology Associates Of Jonesboro, Inc | 8224218425 | 37 |
Entity Name | Cardiology Associates Of Jonesboro, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649570425 PECOS PAC ID: 8224218425 Enrollment ID: O20110204000602 |
Entity Name | St Bernards Physician Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447923438 PECOS PAC ID: 7012311269 Enrollment ID: O20210810001875 |
Mailing Address | Practice Location Address |
---|---|
Dr Jack Havdala, MD 201 E Oak Ave, Jonesboro, AR 72401 Ph: (870) 935-6729 | Dr Jack Havdala, MD 201 E Oak Ave, Jonesboro, AR 72401 Ph: (870) 935-6729 |
Dr. Jennifer M Dicocco, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1005 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-935-1242 | |
Mr. Joseph Wesley Hurston Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72401 Phone: 870-936-8000 Fax: 870-936-3629 | |
Alice M Cherqui, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 S Church St Ste 201, Jonesboro, AR 72401 Phone: 870-934-1462 Fax: 870-934-1456 | |
Shravan Reddy Chintalapani, MD Surgery Medicare: Medicare Enrolled Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72405 Phone: 870-936-8000 Fax: 870-934-3629 | |
Mr. David L. Phillips, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802e Johnson Ave, Jonesboro, AR 72401 Phone: 870-936-8000 Fax: 870-934-3629 | |
Dr. Jonathan Louis Altomar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1005 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-935-1242 Fax: 870-932-6809 | |
Mr. John Clyde Cook, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1005 E Matthews, Jonesboro, AR 72401 Phone: 870-935-1242 Fax: 870-336-1355 |