Mr Paul S Havrilka Iii, APRN, FNP-C - Medicare Nurse Practitioner in Centralia, IL

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Mr Paul S Havrilka Iii, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Centralia, Illinois. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Asbery And Associates Ob Gyn Llc and his current practice location is 208 E 3rd St, Centralia, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 244-4800.

Mr Paul S Havrilka Iii is licensed to practice in Illinois (license number 209-010-715) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801071543.

Contact Information

Mr Paul S Havrilka Iii, APRN, FNP-C
208 E 3rd St,
Centralia, IL 62801-3902
(618) 244-4800
(618) 532-3128

Map and Direction




Provider's Profile

Full NameMr Paul S Havrilka Iii
GenderMale
SpecialityNurse Practitioner
Experience11 Years
Location208 E 3rd St, Centralia, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Paul S Havrilka Iii graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1801071543
  • Provider Enumeration Date: 12/31/2007
  • Last Update Date: 10/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8921236829
  • Enrollment ID: I20140123001132

Medical Identifiers

Medical identifiers for Mr Paul S Havrilka Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801071543NPI-NPPES
1134582018MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 2004031849 (Missouri)Secondary
163W00000XRegistered Nurse 041-339986 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 121502 (Alaska)Secondary
363LF0000XNurse Practitioner - Family 209-010-715 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health St Mary's Hospital -centraliaCentralia, ILHospital
Crossroads Community HospitalMount vernon, ILHospital
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital
Hamilton Memorial HospitalMcleansboro, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Asbery And Associates Ob Gyn Llc650799313611

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. Mr Paul S Havrilka Iii allows following entities to bill medicare on his behalf.
Entity NamePhysician Services Corporation Of Southern Illinois Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831101807
PECOS PAC ID: 9234022567
Enrollment ID: O20040304000583
Entity NameAsbery And Associates Ob Gyn Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033440722
PECOS PAC ID: 6507993136
Enrollment ID: O20100429000968
Entity NameMidwest Emergency Centralia Campus Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396034245
PECOS PAC ID: 2163672650
Enrollment ID: O20121018000074

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. Mr Paul S Havrilka Iii 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
Mr Paul S Havrilka Iii, APRN, FNP-C
8 Cusumano Professional Plaza Dr,
Mount Vernon, IL 62864-6736

Ph: (618) 244-4800		Mr Paul S Havrilka Iii, APRN, FNP-C
208 E 3rd St,
Centralia, IL 62801-3902

Ph: (618) 244-4800

Reviews and Comments


Nurse Practitioner Nurses in Centralia, IL

Mr. Dale D Pearce, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1535 W Mccord St, Centralia, IL 62801
Phone: 618-533-1811    
Alexis Wernsman, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1052 Ml King Drive, Suite 2, Centralia, IL 62801
Phone: 618-436-5410    Fax: 618-436-8063
Mrs. Amber Lynn Wennerstrom, DNP, PMHNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 444 N Pleasant Ave, Centralia, IL 62801
Phone: 618-436-5665    
Ms. Jessica Lynn Chapman,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1535 W Mccord St, Centralia, IL 62801
Phone: 618-532-1811    
Andrea Marie Johnson, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 444 N Pleasant Ave, Centralia, IL 62801
Phone: 618-436-5665    Fax: 618-436-8042
Stacy D Menees, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 432 N Pleasant Ave, Centralia, IL 62801
Phone: 618-436-8300    
Janet Rose Merrell, MSN, APN, CNS, BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 904 M L King Dr, Centralia, IL 62801
Phone: 618-533-1391    Fax: 618-533-0012

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.