Dr Michael Andrew Havens, MD | |
6528 N Olympia Ave, Chicago, IL 60631-1520 | |
(773) 792-8112 | |
Not Available |
Full Name | Dr Michael Andrew Havens |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 20 Years |
Location | 6528 N Olympia Ave, Chicago, Illinois |
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 |
---|---|---|---|
1619128923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | 036120021 (Illinois) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036120021 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Andrew Havens, MD 1000 N Westmoreland Rd # Ll0519, Lake Forest, IL 60045-1658 Ph: (847) 535-6218 | Dr Michael Andrew Havens, MD 6528 N Olympia Ave, Chicago, IL 60631-1520 Ph: (773) 792-8112 |
Mark Wang, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Feinberg Pavilion, Chicago, IL 60611 Phone: 312-503-8144 Fax: 312-502-8249 | |
Sandeep Gurbuxani, Pathology Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Dr. Carmencita Garcia Senseng, MD Pathology Medicare: Medicare Enrolled Practice Location: 1900 W Polk St, Chicago, IL 60612 Phone: 312-864-7561 | |
Suman Setty, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273 | |
Jayme Brentan, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Dr. Megan Elizabeth Sullivan, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-926-3211 | |
Dr. Brett Michael Mahon, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1750 W Harrison St, Jelke, Suite 570, Chicago, IL 60612 Phone: 312-942-5260 |