Theresa M Havalad, NP in Saint Paul, MN - Medicare Nurse Practitioner

Theresa M Havalad, NP is a medicare enrolled "Nurse Practitioner" in Saint Paul, Minnesota. Her current practice location is 870 Grand Ave, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 326-5650.

Theresa M Havalad is licensed to practice in Minnesota (license number 5534) 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 1942649181.

Contact Information

	Theresa M Havalad, NP
	870 Grand Ave, Saint Paul, MN 55105-3291
	(651) 326-5650
	(651) 326-5671

Map and Direction

Provider's Profile

Full Name	Theresa M Havalad
Gender	Female
Speciality	Nurse Practitioner
Location	870 Grand Ave, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942649181
Provider Enumeration Date: 06/20/2013
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 1557595105
Enrollment ID: I20131014001613

Medical Identifiers

Medical identifiers for Theresa M Havalad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942649181	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	041-374413 (Illinois)	Secondary
363L00000X	Nurse Practitioner	5534 (Minnesota)	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. Theresa M Havalad allows following entities to bill medicare on her behalf.

Entity Name	Rush Oak Park Physicians Group Anchor
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396018453 PECOS PAC ID: 7719148378 Enrollment ID: O20120502000726

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. Theresa M Havalad 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
Theresa M Havalad, NP 1690 University Ave W Ste 370, Saint Paul, MN 55104-3723 Ph: (651) 232-5321	Theresa M Havalad, NP 870 Grand Ave, Saint Paul, MN 55105-3291 Ph: (651) 326-5650

Reviews and Comments

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Doreatha J Baker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6708 Fax: 651-220-6589
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Amy F Larson, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 295 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-495-6300 Fax: 952-967-7616

Theresa M Havalad, NP - Medicare Nurse Practitioner in Saint Paul, MN