Regan Elizabeth Havens, NP - Medicare Nurse Practitioner in Fort Gratiot, MI

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Regan Elizabeth Havens, NP is a medicare enrolled "Nurse Practitioner - Family" in Fort Gratiot, Michigan. Her current practice location is 3775 Pollina Ave, Fort Gratiot, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 935-4131.

Regan Elizabeth Havens is licensed to practice in Michigan (license number 4704346339) 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 1164146650.

Contact Information

Regan Elizabeth Havens, NP
3775 Pollina Ave,
Fort Gratiot, MI 48059-4140
(248) 935-4131
Not Available

Map and Direction




Provider's Profile

Full NameRegan Elizabeth Havens
GenderFemale
SpecialityNurse Practitioner - Family
Location3775 Pollina Ave, Fort Gratiot, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164146650
  • Provider Enumeration Date: 09/28/2022
  • Last Update Date: 09/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8921454489
  • Enrollment ID: I20231019003570

Medical Identifiers

Medical identifiers for Regan Elizabeth Havens such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164146650NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704346339 (Michigan)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. Regan Elizabeth Havens allows following entities to bill medicare on her behalf.
Entity NamePort Huron Internal Medicine Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528252251
PECOS PAC ID: 2567497910
Enrollment ID: O20051004000919
Entity NameBerkley Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083022735
PECOS PAC ID: 7315167632
Enrollment ID: O20141008000307

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. Regan Elizabeth Havens 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
Regan Elizabeth Havens, NP
3775 Pollina Ave,
Fort Gratiot, MI 48059-4140

Ph: (248) 935-4131		Regan Elizabeth Havens, NP
3775 Pollina Ave,
Fort Gratiot, MI 48059-4140

Ph: (248) 935-4131

Reviews and Comments


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Mrs. Jessica Jeanette Mcleod, NP
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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.