Stacey Renee Haveman, PHYSICIAN ASSISTANT in Walla Walla, WA

Stacey Renee Haveman, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant - Medical" in Walla Walla, Washington. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Privia Medical Group Washington Pllc and her current practice location is 55 W Tietan St, Walla Walla, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 525-3720.

Stacey Renee Haveman is licensed to practice in Washington (license number PA60389054) 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 1023309796.

Contact Information

	Stacey Renee Haveman, PHYSICIAN ASSISTANT
	55 W Tietan St, Walla Walla, WA 99362-4445
	(509) 525-3720
	(509) 522-1592

Map and Direction

Provider's Profile

Full Name	Stacey Renee Haveman
Gender	Female
Speciality	Physician Assistant
Experience	14 Years
Location	55 W Tietan St, Walla Walla, Washington
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:

Stacey Renee Haveman graduated from nursing school in 2010

NPI Data:

NPI Number: 1023309796
Provider Enumeration Date: 04/28/2011
Last Update Date: 01/18/2016

Medicare PECOS Information:

PECOS PAC ID: 3375729734
Enrollment ID: I20131119001214

Medical Identifiers

Medical identifiers for Stacey Renee Haveman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023309796	NPI	-	NPPES
03465758	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA60389054 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Privia Medical Group Washington Pllc	2264320837	49

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. Stacey Renee Haveman 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
Stacey Renee Haveman, PHYSICIAN ASSISTANT 55 W Tietan St, Walla Walla, WA 99362-4445 Ph: (509) 525-3720	Stacey Renee Haveman, PHYSICIAN ASSISTANT 55 W Tietan St, Walla Walla, WA 99362-4445 Ph: (509) 525-3720

Reviews and Comments

Physician Assistant Nurses in Walla Walla, WA

Kenneth E Moore, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1313 N 13th Ave, Walla Walla, WA 99362 Phone: 509-200-2852 Fax: 509-522-5899
Abigail Bradley, Physician Assistant Medicare: Medicare Enrolled Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 509-897-5950 Fax: 509-879-5570
Douglas Edison West, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 W Poplar St, Ste 220, Walla Walla, WA 99362 Phone: 509-522-1030 Fax: 509-529-6066
Alexis Ivy Weinrich, Physician Assistant Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1581
Erin Nova Fletcher, PA STUDENT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1120 W Rose St, Walla Walla, WA 99362 Phone: 509-525-6650 Fax: 509-522-2349
Joshua Wicks, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 509-522-5820

Stacey Renee Haveman, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Walla Walla, WA