| Shawn Robert O'haver, AG-ACNP | |
|
84 Acoma Blvd N Ste 106, Lake Havasu City, AZ 86403-6096 | |
| (928) 412-8808 | |
| (928) 412-8807 |
| Full Name | Shawn Robert O'haver |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 84 Acoma Blvd N Ste 106, Lake Havasu City, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922450493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | AP11115 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
| La Paz Regional Hospital | Parker, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeside Orthopedic Institute Llc | 1052316445 | 18 |
| Entity Name | La Paz Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083639983 PECOS PAC ID: 1557273356 Enrollment ID: O20031219000694 |
| Entity Name | Lakeside Orthopedic Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275564916 PECOS PAC ID: 1052316445 Enrollment ID: O20060918000307 |
| Entity Name | Family Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053938860 PECOS PAC ID: 3476971904 Enrollment ID: O20200916000845 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Robert O'haver, AG-ACNP 84 Acoma Blvd N Ste 106, Lake Havasu City, AZ 86403-6096 Ph: (928) 412-8808 | Shawn Robert O'haver, AG-ACNP 84 Acoma Blvd N Ste 106, Lake Havasu City, AZ 86403-6096 Ph: (928) 412-8808 |
Nikola Marie Neill, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1760 Mcculloch Blvd N, Ste 100, Lake Havasu City, AZ 86403 Phone: 928-854-5368 Fax: 928-854-4462 | |
Ms. Stephanie Louise Herrick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1987 Mcculloch Blvd N, Ste 101, Lake Havasu City, AZ 86403 Phone: 928-453-6963 Fax: 928-453-7011 | |
June Staley, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1845 Mcculloch Blvd N, Suite B-1, Lake Havasu City, AZ 86403 Phone: 928-453-2661 Fax: 928-453-2672 | |
Stephanie R Brison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-854-0060 | |
Allison Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Darion Alexxis Roush, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Mrs. Stevie Jean Mueller, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 365 Lake Havasu Ave S, Lake Havasu City, AZ 86403 Phone: 928-733-6293 |