Chastidy Haven, FNP - Medicare Nurse Practitioner in Petersburg, IN

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Chastidy Haven, FNP is a medicare enrolled "Nurse Practitioner - Family" in Petersburg, Indiana. Her current practice location is 308 W Pike Ave, Petersburg, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 354-8834.

Chastidy Haven is licensed to practice in Indiana (license number 71015638A) 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 1407694375.

Contact Information

Chastidy Haven, FNP
308 W Pike Ave,
Petersburg, IN 47567-8755
(812) 354-8834
Not Available

Map and Direction




Provider's Profile

Full NameChastidy Haven
GenderFemale
SpecialityNurse Practitioner - Family
Location308 W Pike Ave, Petersburg, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407694375
  • Provider Enumeration Date: 07/16/2024
  • Last Update Date: 11/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0547709057
  • Enrollment ID: I20241010002181

Medical Identifiers

Medical identifiers for Chastidy Haven such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407694375NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 28169520A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71015638A (Indiana)Primary

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. Chastidy Haven allows following entities to bill medicare on her behalf.
Entity NameTotal Care Family Practice Rick Bobay Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356674162
PECOS PAC ID: 5991844631
Enrollment ID: O20091209000326
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20211209000803

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. Chastidy Haven 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
Chastidy Haven, FNP
3100 S Walnut Street Pike Apt B158,
Bloomington, IN 47401-7369

Ph: (812) 322-4979		Chastidy Haven, FNP
308 W Pike Ave,
Petersburg, IN 47567-8755

Ph: (812) 354-8834

Reviews and Comments


Nurse Practitioner Nurses in Petersburg, IN

Toni M Martin, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 106 W Pike Ave, Petersburg, IN 47567
Phone: 812-354-1052    Fax: 812-354-8280
Nicole L Stevenson, MSN-NPC
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Medicare: Accepting Medicare Assignments
Practice Location: 1003 E Illinois St, Petersburg, IN 47567
Phone: 812-354-3485    Fax: 812-354-3459
Joseph Clayton Martin, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 611 E Main St Ste 110, Petersburg, IN 47567
Phone: 812-354-8785    Fax: 812-354-8786
Lynnette M Matteson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 611 E Main Street, Suite 110, Petersburg, IN 47567
Phone: 812-354-8426    Fax: 812-354-9134
Alexandria Jo Carie-kroeger, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 106 W Pike Ave, Petersburg, IN 47567
Phone: 812-354-1052    Fax: 812-354-8280
Jessica N Collins, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1003 E Illinois St, Petersburg, IN 47567
Phone: 812-354-3458    Fax: 812-354-3459

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.