Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bailey E Havlovitz, PA-C

Individual provider Physician Assistant · NPI 1083289847

Bailey E Havlovitz, PA-C is a Physician Assistant in Green Bay, Wisconsin. Qualified in 2021, 5 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

720 S Vanburen St
Green Bay, WI 54301-3504
Phone: (920) 468-3444
Fax: (920) 432-6313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2641 Development Dr, Green Bay, WI 54311-4240 — (920) 338-6868
  • 2820 Roosevelt Rd, Marinette, WI 54143-3834 — (715) 735-5225
  • 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 — (414) 805-4777

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5720-23 (WI)

Record details

NPI number1083289847
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 24, 2021
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Green Bay