Dr Jack Havdala, MD - Medicare General Surgery in Jonesboro, AR

Dr Jack Havdala, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Jonesboro, Arkansas. He went to R Franklin University Of Med & Sci/chicago Medical School and graduated in 1990 and has 34 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice St Bernards Physician Clinics Inc, Cardiology Associates Of Jonesboro, Inc and his current practice location is 201 E Oak Ave, Jonesboro, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 935-6729.

Dr Jack Havdala is licensed to practice in Arkansas (license number E3961) 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 1477558955.

Contact Information

Dr Jack Havdala, MD
201 E Oak Ave,
Jonesboro, AR 72401
(870) 935-6729
(870) 268-4408

Map and Direction




Physician's Profile

Full NameDr Jack Havdala
GenderMale
SpecialityGeneral Surgery
Experience34 Years
Location201 E Oak Ave, Jonesboro, Arkansas
Accepts Medicare AssignmentsYes. 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 Jack Havdala attended and graduated from R Franklin University Of Med & Sci/chicago Medical School in 1990
  NPI Data:
  • NPI Number: 1477558955
  • Provider Enumeration Date: 06/20/2005
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3476543372
  • Enrollment ID: I20040513000729

Medical Identifiers

Medical identifiers for Dr Jack Havdala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477558955NPI-NPPES
E3961OtherARSTATE LICENSE
32638100MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery E3961 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Bernards Medical CenterJonesboro, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Bernards Physician Clinics Inc7012311269173
Cardiology Associates Of Jonesboro, Inc822421842537

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 Jack Havdala allows following entities to bill medicare on his behalf.
Entity NameCardiology Associates Of Jonesboro, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649570425
PECOS PAC ID: 8224218425
Enrollment ID: O20110204000602
Entity NameSt Bernards Physician Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447923438
PECOS PAC ID: 7012311269
Enrollment ID: O20210810001875

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 Jack Havdala 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
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

Reviews and Comments


Surgery Doctors in Jonesboro, AR

Dr. Jennifer M Dicocco,
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Mr. David L. Phillips, MD
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Dr. Jonathan Louis Altomar, M.D.
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Mr. John Clyde Cook, MD
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Practice Location: 1005 E Matthews, Jonesboro, AR 72401
Phone: 870-935-1242    Fax: 870-336-1355

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.