Tammie J Haveman, is a medicare enrolled "Physician Assistant" physician in Hudson, Wisconsin. Her current practice location is
405 Stageline Rd, Hudson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 531-6000.
Tammie J Haveman is licensed to practice in Minnesota (license number 1306) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144451139.
Physician's Profile
Full Name | Tammie J Haveman |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 405 Stageline Rd, Hudson, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144451139
- Provider Enumeration Date: 08/07/2009
- Last Update Date: 05/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 0143375535
- Enrollment ID: I20090909000157
Medical Identifiers
Medical identifiers for Tammie J Haveman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144451139 | NPI | - | NPPES |
PENDING | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 2819-23 (Wisconsin) | Secondary |
363A00000X | Physician Assistant | 1306 (Minnesota) | Primary |
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. Tammie J Haveman 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 |
Tammie J Haveman, 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 Ph: (651) 999-6800 | Tammie J Haveman, 405 Stageline Rd, Hudson, WI 54016-7848 Ph: (715) 531-6000 |
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