Dr Gregory James Haack, MD | |
4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | |
(937) 257-9926 | |
Not Available |
Full Name | Dr Gregory James Haack |
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Gender | Male |
Speciality | Internal Medicine |
Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235125261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01056726A (Indiana) | Secondary |
207R00000X | Internal Medicine | 35.146219 (Ohio) | Primary |
Entity Name | Wright State Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114920329 PECOS PAC ID: 7618889320 Enrollment ID: O20031103000097 |
Entity Name | Five Rivers Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104115823 PECOS PAC ID: 9335300904 Enrollment ID: O20120409000638 |
Mailing Address | Practice Location Address |
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Dr Gregory James Haack, MD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-9926 | Dr Gregory James Haack, MD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-9926 |
Dr. Amy Lynn-jacobson Schimke, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, 88 Mdos/sgomc, Wright Patterson Afb, OH 45433 Phone: 937-257-1764 Fax: 937-257-1819 | |
Dr. Amy Gammill Hicks, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2510 5th St, Usafsam/feci, Wright Patterson Afb, OH 45433 Phone: 937-938-2755 | |
Dr. John Patrick Mitchell, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, Mdos/sgo, Wright Patterson Afb, OH 45433 Phone: 937-257-9145 Fax: 937-656-1830 | |
Dr. Samuel Raymond Theis, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-1770 | |
Dr. Brittaini Danielle Bunce, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-0837 | |
Dr. Cody Lee Hedrick, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-0837 Fax: 937-208-8828 |