Mr Max Mahfuzul Haque, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Logan, Ohio. He graduated from medical school in 1974 and has 50 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Ohio Psychiatric Services Llc, Psychiatric Services And Tms Center Llc and his current practice location is
1389 W Hunter St, Logan, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 385-2197.
Mr Max Mahfuzul Haque is licensed to practice in Ohio (license number 35-07-0607-H) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700884111.
Physician's Profile
| Full Name | Mr Max Mahfuzul Haque |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 50 Years |
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| Location | 1389 W Hunter St, Logan, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Max Mahfuzul Haque graduated from medical school in 1974
NPI Data:
- NPI Number: 1700884111
- Provider Enumeration Date: 07/09/2005
- Last Update Date: 06/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 9436045234
- Enrollment ID: I20040227000155
Medical Identifiers
Medical identifiers for Mr Max Mahfuzul Haque such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700884111 | NPI | - | NPPES |
| 35070607H | Other | OH | STATE LICENSE |
| 2050999 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35-07-0607-H (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ohio Psychiatric Services Llc | 1850689266 | 6 |
| Psychiatric Services And Tms Center Llc | 9335527480 | 4 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Max Mahfuzul Haque allows following entities to bill medicare on his behalf.
| Entity Name | Ohio Psychiatric Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902359383
PECOS PAC ID: 1850689266
Enrollment ID: O20161017002698 |
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| Entity Name | Holistic Wellness Solutions Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063932119
PECOS PAC ID: 6002243755
Enrollment ID: O20200219001658 |
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| Entity Name | Psychiatric Services And Tms Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891431821
PECOS PAC ID: 9335527480
Enrollment ID: O20220602001112 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Max Mahfuzul Haque is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Max Mahfuzul Haque, MD
Po Box 228,
Logan, OH 43138-0228
Ph: (740) 380-4181 | Mr Max Mahfuzul Haque, MD
1389 W Hunter St,
Logan, OH 43138-1013
Ph: (740) 385-2197 |
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