Dr Brian Thomas Haven, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Grand Terrace, California. He went to Temple University School Of Podiatric Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Riverside-san Bernardino County Indian Health Inc and his current practice location is
11980 Mount Vernon Ave, Grand Terrace, California. You can reach out to his office (for appointments etc.) via phone at
(909) 863-1097.
Dr Brian Thomas Haven is licensed to practice in California (license number E6017) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609356591.
Healthcare Provider's Profile
| Full Name | Dr Brian Thomas Haven |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 6 Years |
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| Location | 11980 Mount Vernon Ave, Grand Terrace, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Brian Thomas Haven attended and graduated from Temple University School Of Podiatric Medicine in 2018
NPI Data:
- NPI Number: 1609356591
- Provider Enumeration Date: 08/20/2018
- Last Update Date: 01/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638575582
- Enrollment ID: I20240208001251
Medical Identifiers
Medical identifiers for Dr Brian Thomas Haven such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609356591 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD-001008 (Arizona) | Secondary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | E6017 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Riverside-san Bernardino County Indian Health Inc | 4789867805 | 31 |
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. Dr Brian Thomas Haven allows following entities to bill medicare on his behalf.
| Provider Name | Riverside-san Bernardino County Indian Health Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1174676670
PECOS PAC ID: 4789867805
Enrollment ID: O20150508001121 |
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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. Dr Brian Thomas Haven 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 |
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Dr Brian Thomas Haven, DPM
11980 Mount Vernon Ave,
Grand Terrace, CA 92313-5172
Ph: (909) 863-1097 | Dr Brian Thomas Haven, DPM
11980 Mount Vernon Ave,
Grand Terrace, CA 92313-5172
Ph: (909) 863-1097 |
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