Mr Nicholas Tilly Haun, PTA, CEAS II is a
Physical Medicine & Rehabilitation physician based in Hartford City, Indiana. Mr Nicholas Tilly Haun is licensed to practice in Indiana (license number 06005092A) and his current practice location is 410 Pilgrim Boulevard, Hartford City, Indiana. He can be reached at his office (for appointments etc.) via phone at
(765) 348-4197.
NPI number for Mr Nicholas Tilly Haun is 1821705278 and his current mailing address is 410 Pilgrim Blvd, Hartford City, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821705278.
Physician's Profile
| Full Name | Mr Nicholas Tilly Haun |
|---|
| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 410 Pilgrim Boulevard, Hartford City, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821705278
- Provider Enumeration Date: 11/03/2022
- Last Update Date: 11/03/2022
Medical Identifiers
Medical identifiers for Mr Nicholas Tilly Haun such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821705278 | NPI | - | NPPES |
| 7 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 06005092A (Indiana) | Primary |
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 Nicholas Tilly Haun is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Nicholas Tilly Haun, PTA, CEAS II
410 Pilgrim Blvd,
Hartford City, IN 47348-1382
Ph: (765) 348-4197 | Mr Nicholas Tilly Haun, PTA, CEAS II
410 Pilgrim Boulevard,
Hartford City, IN 47348-1382
Ph: (765) 348-4197 |
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