Boris Havkin (NPI# 1609867696, PAC ID# 3476530353) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1609867696 |
| PAC ID by PECOS | 3476530353 |
| Professional Enrollment ID | I20040630000235 |
| Full Name | Boris Havkin |
| Address |
3021 W Eau Gallie Blvd Suite 103 Melbourne FL 32934-7005 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1998 |
| Primary Specialty | UROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100028 | PARRISH MEDICAL CENTER |
| 100019 | HOLMES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3021 W Eau Gallie Blvd, Suite 103, Melbourne, FL 32934-7005 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 11% | |
| MIPS_EC_050_overall | Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older | 34% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 12% |
| Street Address |
3021 W EAU GALLIE BLVD SUITE 103 |
| City | MELBOURNE |
| State | FL |
| Zip | 32934-7005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Morales | Nurse Practitioner | Mid-florida Dermatology Associates P.a. | 3021 W Eau Gallie Blvd, Suite 102, Melbourne, FL 32934-7005 |
| Fernando Ovalle | Plastic and Reconstructive Surgery | Mid-florida Dermatology Associates P.a. | 3021 W Eau Gallie Blvd, Suite 102, Melbourne, FL 32934-7005 |
| Esmat A Gayed | Family Medicine | Medical Associates of Brevard LLC | 3021 W Eau Gallie Blvd, Suite 101, Melbourne, FL 32934-7005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Barnes | Chiropractic | 3800 W Eau Gallie Blvd, Suite 101, Melbourne, FL 32934-3285 | |
| Carol Giacobbe | Occupational Therapy | 3800 W Eau Gallie Blvd, Suite 101, Melbourne, FL 32934-3285 | |
| Carlos E Orive | Nurse Practitioner | Vitas Solutions Inc | 4450 W Eau Gallie Blvd, Suite 250, Melbourne, FL 32934-7215 |
| Jabr E. Hadid | Hospitalist | 3033 Sarno Rd, Melbourne, FL 32934-7229 |
| City | MELBOURNE |
| Zip Code | 32934 |
| Specialty | UROLOGY |
| City + Specialty | MELBOURNE + UROLOGY |
Please comment or provide details below to improve the information on Boris Havkin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.