Jena Haviland, DO - Medicare General Surgery in Luke Afb, AZ

Jena Haviland, DO is a medicare enrolled "Surgery" physician in Luke Afb, Arizona. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Banner Physician Specialists Arizona Llc and her current practice location is 7219 N Litchfield Rd, Luke Afb, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 856-9919.

Jena Haviland is licensed to practice in Arizona (license number 008013) 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 1518317213.

Contact Information

Jena Haviland, DO
7219 N Litchfield Rd,
Luke Afb, AZ 85309-1529
(623) 856-9919
Not Available



Physician's Profile

Full NameJena Haviland
GenderFemale
SpecialityGeneral Surgery
Experience8 Years
Location7219 N Litchfield Rd, Luke Afb, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jena Haviland graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1518317213
  • Provider Enumeration Date: 06/14/2016
  • Last Update Date: 04/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800276858
  • Enrollment ID: I20220707003048

Medical Identifiers

Medical identifiers for Jena Haviland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518317213NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 008013 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Baywood Medical CenterMesa, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner Physician Specialists Arizona Llc6204002272258

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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. Jena Haviland allows following entities to bill medicare on her behalf.
Entity NameBanner Physician Specialists Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316228802
PECOS PAC ID: 6204002272
Enrollment ID: O20111222000509

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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. Jena Haviland 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 AddressPractice Location Address
Jena Haviland, DO
7219 N Litchfield Rd,
Luke Afb, AZ 85309-1529

Ph: () -
Jena Haviland, DO
7219 N Litchfield Rd,
Luke Afb, AZ 85309-1529

Ph: (623) 856-9919

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Surgery Doctors in Luke Afb, AZ

Dr. Robert Mark Dixon, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7219 N Litchfield Rd, 56th Mdos/sgosgs, Luke Afb, AZ 85309
Phone: 632-856-9717    Fax: 623-856-4674
Jarrett Eyer, DO
Surgery
Medicare: Medicare Enrolled
Practice Location: 7219 N Litchfield Rd, Luke Afb, AZ 85309
Phone: 623-856-7279    

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