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MATTHEW HAVASS
NPI 1053051458
Student in an Organized Health Care Education/Training Program in Freeport, FL

Active since April 01, 2022PECOS Enrolled
205 HAMMOCK TRL E APT D115, FREEPORT, FL 32439(954) 850-1225 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Matthew Havass NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW HAVASS (NPI 1053051458) is an individual student in an organized health care education/training program in Freeport, Florida and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053051458
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW HAVASS
Location Address205 HAMMOCK TRL E APT D115Freeport, FL 32439-7660
Mailing Address205 Hammock Trl E Apt D115Freeport, FL 32439-7660 · (954) 850-1225
Phone(954) 850-1225
Sole ProprietorNo
Enumeration DateApril 1, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1053051458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
205 HAMMOCK TRL E APT D115, Freeport, FL 32439
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Havass is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Havass's NPI number?

The NPI number for Matthew Havass is 1053051458. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Matthew Havass located?

Matthew Havass practices at 205 Hammock Trl E Apt D115, Freeport, FL 32439. The listed phone number is (954) 850-1225.

What is Matthew Havass's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Havass enrolled in Medicare?

Yes. Matthew Havass is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Havass was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.