Mary Rebecca Haak, MD | |
1111 Ronald Reagan Pkwy Ste C1400, Avon, IN 46123-7085 | |
(317) 217-2777 | |
(317) 217-2775 |
Full Name | Mary Rebecca Haak |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 1111 Ronald Reagan Pkwy Ste C1400, Avon, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396776852 | NPI | - | NPPES |
100133690A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 01032115 (Indiana) | Secondary |
207V00000X | Obstetrics & Gynecology | 01032115A (Indiana) | Primary |
Entity Name | Indiana University Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
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Mary Rebecca Haak, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Mary Rebecca Haak, MD 1111 Ronald Reagan Pkwy Ste C1400, Avon, IN 46123-7085 Ph: (317) 217-2777 |
Travis A Richardson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy Ste 1400, Avon, IN 46123 Phone: 317-217-2777 Fax: 317-217-2775 | |
Deanna M Fenoughty, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033 Fax: 317-272-8044 | |
Julia Lauren Ruckman-long, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033 Fax: 317-272-8044 | |
Anita K Mazdai, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033 Fax: 317-272-8044 | |
John G Jarrett, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1111 Ronald Reagan Pkwy, Ste C-1100, Avon, IN 46123 Phone: 317-217-2525 | |
Beatrice Soderholm, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6911 E Us Highway 36, Avon, IN 46123 Phone: 317-272-8033 | |
Tiffany J Fan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1115 Ronald Reagan Pkwy Ste 266, Avon, IN 46123 Phone: 317-217-2500 |