Dr Mark Allen Haggenjos, DO | |
428 West Votaw Street, Suite A, Portland, IN 47371-0710 | |
(260) 726-8822 | |
(260) 726-7857 |
Full Name | Dr Mark Allen Haggenjos |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 428 West Votaw Street, Portland, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619935475 | NPI | - | NPPES |
100348680 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 02001027A (Indiana) | Secondary |
208M00000X | Hospitalist | 02001027A (Indiana) | Secondary |
207Q00000X | Family Medicine | 02001027A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Home Health Angels Llc | Winchester, IN | Home health agency |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Meridian Health Services Corp | 5597679845 | 47 |
Entity Name | Indiana University Health Ball Memorial Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
Entity Name | Meridian Health Services Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992755490 PECOS PAC ID: 5597679845 Enrollment ID: O20031119000531 |
Entity Name | Jay County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033115993 PECOS PAC ID: 8921908021 Enrollment ID: O20040122000576 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Allen Haggenjos, DO 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: (877) 668-5621 | Dr Mark Allen Haggenjos, DO 428 West Votaw Street, Suite A, Portland, IN 47371-0710 Ph: (260) 726-8822 |
J Frank Vormohr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 W Votaw St, Portland, IN 47371 Phone: 260-726-7616 Fax: 260-726-8165 | |
David M Brown, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-7131 | |
Dr. Daniel J Livera, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 428 W Votaw St, Portland, IN 47371 Phone: 260-726-8822 | |
Jerry Warren Whetzel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 W Votaw St, Portland, IN 47371 Phone: 260-726-7616 Fax: 260-726-8165 | |
Stephanie C Sharpe, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 430 W Votaw St, Portland, IN 47371 Phone: 260-726-9027 Fax: 260-726-9529 | |
Dr. Som Dutt Tyagi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-7131 | |
Leonard J Green, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 428 W Votaw St, Suite A, Portland, IN 47371 Phone: 260-726-8822 Fax: 260-726-7857 |