Dr Myrna Ivelisse Gover Havener, MD | |
1780 Old Highway 50 E, Union, MO 63084 | |
(888) 403-1071 | |
Not Available |
Full Name | Dr Myrna Ivelisse Gover Havener |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 41 Years |
Location | 1780 Old Highway 50 E, Union, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487664942 | NPI | - | NPPES |
2010036458 | Other | MO | MISSOURI STATE BOARD OF REGISTRATION |
145265801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2010036458 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Missouri Baptist Medical Center | Town and country, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physician Groups Lc | 3072421254 | 427 |
Entity Name | Physician Groups Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
Entity Name | Compass Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955 |
Entity Name | Sound Physicians Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20170519000666 |
Entity Name | Dedicated Missouri Holding, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053958082 PECOS PAC ID: 5395176820 Enrollment ID: O20200515001886 |
Mailing Address | Practice Location Address |
---|---|
Dr Myrna Ivelisse Gover Havener, MD 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512 Ph: (314) 448-3791 | Dr Myrna Ivelisse Gover Havener, MD 1780 Old Highway 50 E, Union, MO 63084 Ph: (888) 403-1071 |
Shaukat A Thanawalla, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 97 Saint Andrews Dr, Union, MO 63084 Phone: 636-583-2946 Fax: 636-583-6131 | |
Dr. Joi C Irving, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1935 Prairie Dell Rd Ste 400, Union, MO 63084 Phone: 636-583-2508 | |
Dr. Stephanie Diane Bauerle, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1780 Old Us Highway 50 E, Suite 115, Union, MO 63084 Phone: 636-583-8555 Fax: 636-583-8559 |