Mr. Paul S Havrilka Iii is a Centralia, Illinois based nurse practitioner with 11 years of experience in . He completed his graduation in 2013. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Paul S Havrilka Iii is 209-010-715 for Family in Illinois. His current practice location is 208 E 3rd St, Centralia. Patients can reach him at 618-244-4800 or can fax him at 618-532-3128. Mr. Paul S Havrilka Iii is APRN, FNP-C and his NPI number (Unique professional ID assigned by NPPES) is 1801071543. Mr. Paul S Havrilka Iii has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Paul S Havrilka Iii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8921236829
Enrollment ID:
I20140123001132
NPI Number:
1801071543
NPI Enumeration Date:
31 Dec, 2007
NPI Last Update On:
20 Oct, 2020
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Paul S Havrilka Iii are as mentioned below.
License Number
Specialization
State
Status
209-010-715
Family
Illinois
Primary
2004031849
Registered Nurse
Missouri
Secondary
041-339986
Registered Nurse
Illinois
Secondary
121502
Family
Alaska
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(140034)
Centralia, IL
Acute Care Hospital
(140294)
Mount vernon, IL
Acute Care Hospital
(140046)
Mount vernon, IL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Paul S Havrilka Iii is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Asbery And Associates Ob Gyn Llc (6507993136)
9
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Paul S Havrilka Iii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1134582018
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Paul S Havrilka Iii 8 Cusumano Professional Plaza Dr, Mount Vernon, Illinois
Zip:
62864-6736
Phone Number:
618-244-4800
Fax Number:
618-532-3128
Patients can reach Mr. Paul S Havrilka Iii at 208 E 3rd St, Centralia, Illinois or can call to book an appointment on 618-244-4800.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.