Mrs Suzanne Nadra Havican, MD is a medicare enrolled "Family Medicine" provider in New London, Wisconsin. Her current practice location is
1405 Mill St, New London, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 531-2400.
Mrs Suzanne Nadra Havican is licensed to practice in Wisconsin (license number 77590) 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 1235368309.
Healthcare Provider's Profile
Full Name | Mrs Suzanne Nadra Havican |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 1405 Mill St, New London, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235368309
- Provider Enumeration Date: 07/09/2009
- Last Update Date: 11/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264626407
- Enrollment ID: I20221219001518
Medical Identifiers
Medical identifiers for Mrs Suzanne Nadra Havican such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235368309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1835P1200X | Pharmacist - Pharmacotherapy | 13732 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | 77590 (Wisconsin) | 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. Mrs Suzanne Nadra Havican allows following entities to bill medicare on her behalf.
Entity Name | Thedacare, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
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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. Mrs Suzanne Nadra Havican 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 |
Mrs Suzanne Nadra Havican, MD 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 531-2400 | Mrs Suzanne Nadra Havican, MD 1405 Mill St, New London, WI 54961-2155 Ph: (920) 531-2400 |
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