Jacqueline M Havriliak, CRNA in Johnson City, NY - Medicare Certified Registered Nurse Anesthetist (crna)

Jacqueline M Havriliak, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Johnson City, New York. She graduated from nursing school in 1991 and has 33 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Bryn Mawr Medical Specialists Association and her current practice location is 156 Corliss Ave, Suite 107, Johnson City, New York. You can reach out to her office (for appointments etc.) via phone at (607) 763-6735.

Jacqueline M Havriliak is licensed to practice in Pennsylvania (license number RN246320L) 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 1063457760.

Contact Information

	Jacqueline M Havriliak, CRNA
	156 Corliss Ave, Suite 107, Johnson City, NY 13790-2060
	(607) 763-6735
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline M Havriliak
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	33 Years
Location	156 Corliss Ave, Johnson City, New York
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:

Jacqueline M Havriliak graduated from nursing school in 1991

NPI Data:

NPI Number: 1063457760
Provider Enumeration Date: 06/17/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1850293457
Enrollment ID: I20040123000622

Medical Identifiers

Medical identifiers for Jacqueline M Havriliak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063457760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN246320L (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bryn Mawr Medical Specialists Association	4183610934	91

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. Jacqueline M Havriliak allows following entities to bill medicare on her behalf.

Entity Name	Associates In Anesthesia, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942281191 PECOS PAC ID: 9335052034 Enrollment ID: O20031124000710

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. Jacqueline M Havriliak 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
Jacqueline M Havriliak, CRNA 156 Corliss Ave, Suite 107, Johnson City, NY 13790-2060 Ph: (607) 763-6735	Jacqueline M Havriliak, CRNA 156 Corliss Ave, Suite 107, Johnson City, NY 13790-2060 Ph: (607) 763-6735

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Johnson City, NY

Todd M Kubesh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 57 N Harrison St, Johnson City, NY 13790 Phone: 607-763-6000
Ms. Ling-ling Shih, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 156 Corliss Ave, Suite 107, Johnson City, NY 13790 Phone: 607-763-6735 Fax: 607-763-6736
Louise Parks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 156 Corliss Ave Ste 107, Johnson City, NY 13790 Phone: 607-763-6735 Fax: 607-763-6736
James Marra, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 156 Corliss Ave, Suite 107, Johnson City, NY 13790 Phone: 607-763-6735
Ryan T Pickett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 57 N Harrison St, Johnson City, NY 13790 Phone: 607-763-6000
Adam Scotchlas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 156 Corliss Ave Apt 107, Johnson City, NY 13790 Phone: 607-763-6735 Fax: 607-763-6736

Jacqueline M Havriliak, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Johnson City, NY