Michael C Havekost, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18021 Issued in NE

Practice address

105 S 9TH St
Beatrice, NE 68310-4002

Phone

(402) 520-7302

Fax

(402) 520-7303

NPI assigned

May 24, 2005

Last updated

Sep 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 23, 2023 through May 23, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Warren Memorial Hospital

  dba Friend Community Healthcare System

  • Rural Acute Care Hospital
  • Friend, NE
  • NPI 1841387552
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1760485544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S 9TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683104002",
            "telephone_number": "402-520-7302",
            "fax_number": "402-520-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S 9TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683104002",
            "telephone_number": "402-520-7302",
            "fax_number": "402-520-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVEKOST",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "18021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittanie Harrison
• Sidney Hartig
• Avery Hatcher
• Jaime Hatcliff, P.A.C.
• Jason Michael Hatcliff, PT
• Kourtney Hawk
• Ciara Brianne Haworth
• Alecia Heaps
• Hearing Care Centers of Nebraska, Inc. (Modern Hearing Solutions)
• Phil Henderson

• Family Medicine Physician in Beatrice, NE
• Providers in Beatrice, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.