Kaci N Havlin, in Jacksonville, IL - Medicare Nurse Practitioner

Kaci N Havlin, is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Illinois. Her current practice location is 15 Founders Ln, Jacksonville, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 528-7541.

Kaci N Havlin is licensed to practice in Illinois (license number 209015784) 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 1083155311.

Contact Information

	Kaci N Havlin,
	15 Founders Ln, Jacksonville, IL 62650-3919
	(217) 528-7541
	Not Available

Map and Direction

Provider's Profile

Full Name	Kaci N Havlin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	15 Founders Ln, Jacksonville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083155311
Provider Enumeration Date: 03/20/2017
Last Update Date: 10/03/2022

Medicare PECOS Information:

PECOS PAC ID: 7911283981
Enrollment ID: I20170406001883

Medical Identifiers

Medical identifiers for Kaci N Havlin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083155311	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209015784 (Illinois)	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. Kaci N Havlin allows following entities to bill medicare on her behalf.

Entity Name	Springfield Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826

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. Kaci N Havlin 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
Kaci N Havlin, Po Box 19248, Springfield, IL 62794-9248 Ph: (217) 528-7541	Kaci N Havlin, 15 Founders Ln, Jacksonville, IL 62650-3919 Ph: (217) 528-7541

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, IL

Christy D Wuellner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2268 E Morton Ave, Jacksonville, IL 62650 Phone: 217-245-1481
Michelle Lee Geiss, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-245-7275
Donna Marie Leischner, CERTIFIED NURSE PRAC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 345 W State St, Jacksonville, IL 62650 Phone: 217-245-5111 Fax: 217-243-4773
Sherri Lindgren, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 E State St Ste 100, Jacksonville, IL 62650 Phone: 217-545-8000
Elizabeth Wade, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 W Morton Ave, Jacksonville, IL 62650 Phone: 217-528-7541
Lindsey M Wright, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 W Morton Ave Ste 22, Jacksonville, IL 62650 Phone: 217-588-6140 Fax: 217-588-3043

Kaci N Havlin, - Medicare Nurse Practitioner in Jacksonville, IL