Jena Haviland, DO is a medicare enrolled "Surgery" physician in Luke Afb, Arizona. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Banner Physician Specialists Arizona Llc and her current practice location is
7219 N Litchfield Rd, Luke Afb, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 856-9919.
Jena Haviland is licensed to practice in Arizona (license number 008013) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518317213.
Physician's Profile
Full Name | Jena Haviland |
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Gender | Female |
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Speciality | General Surgery |
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Experience | 8 Years |
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Location | 7219 N Litchfield Rd, Luke Afb, Arizona |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jena Haviland graduated from medical school in 2016
NPI Data:
- NPI Number: 1518317213
- Provider Enumeration Date: 06/14/2016
- Last Update Date: 04/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800276858
- Enrollment ID: I20220707003048
Medical Identifiers
Medical identifiers for Jena Haviland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518317213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 008013 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Banner Physician Specialists Arizona Llc | 6204002272 | 255 |
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. Jena Haviland allows following entities to bill medicare on her behalf.
Entity Name | Banner Physician Specialists Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
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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. Jena Haviland 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 |
Jena Haviland, DO 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 Ph: () - | Jena Haviland, DO 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 Ph: (623) 856-9919 |
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