Mark T Haldeman, MD | |
1081 Fairington Dr, Sidney, OH 45365-8130 | |
(937) 493-0009 | |
(937) 492-6684 |
Full Name | Mark T Haldeman |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1081 Fairington Dr, Sidney, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164472833 | NPI | - | NPPES |
2143737 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35-07-5865-H (Ohio) | Primary |
Entity Name | Wilson Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205886926 PECOS PAC ID: 4385549666 Enrollment ID: O20031201000170 |
Mailing Address | Practice Location Address |
---|---|
Mark T Haldeman, MD 915 Michigan St, Sidney, OH 45365-2401 Ph: (937) 497-5665 | Mark T Haldeman, MD 1081 Fairington Dr, Sidney, OH 45365-8130 Ph: (937) 493-0009 |
Dr. Mark E Young, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 4th Ave Ste 3, Sidney, OH 45365 Phone: 937-492-7797 Fax: 937-710-9040 | |
Stephen Justice, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1205 Fairington Dr, Sidney, OH 45365 Phone: 937-492-8431 Fax: 937-498-5126 | |
Barbara Pleiman, APRN-CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 Fair Rd, Sidney, OH 45365 Phone: 937-658-6216 Fax: 937-658-6215 | |
Cara Wolters, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1205 Fairington Dr, Sidney, OH 45365 Phone: 937-492-8431 | |
Chandulal D Ghodasara, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 915 West Michigan St, Building A, Sidney, OH 45365 Phone: 937-492-5445 Fax: 937-492-4836 | |
Dr. Stephen Warren Blatchly, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 823 Michigan St Bldg B, Sidney, OH 45365 Phone: 937-498-1335 Fax: 937-498-1011 |