Dr Paul M Haidak, MD - Medicare General Practice in Tullahoma, TN

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Dr Paul M Haidak, MD is a medicare enrolled "General Practice" physician in Tullahoma, Tennessee. His current practice location is 105 Ledford Mill Rd, Suite B, Tullahoma, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 841-3311.

Dr Paul M Haidak is licensed to practice in Tennessee (license number 44645) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871612515.

Contact Information

Dr Paul M Haidak, MD
105 Ledford Mill Rd, Suite B,
Tullahoma, TN 37388-8261
(931) 841-3311
(931) 841-3314

Map and Direction




Physician's Profile

Full NameDr Paul M Haidak
GenderMale
SpecialityGeneral Practice
Location105 Ledford Mill Rd, Tullahoma, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871612515
  • Provider Enumeration Date: 03/27/2007
  • Last Update Date: 03/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3971539446
  • Enrollment ID: I20090602000695

Medical Identifiers

Medical identifiers for Dr Paul M Haidak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871612515NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 44645 (Tennessee)Secondary
2082S0105XPlastic Surgery - Surgery Of The Hand 44645 (Tennessee)Secondary
2083A0300XPreventive Medicine - Addiction Medicine 44645 (Tennessee)Secondary
208D00000XGeneral Practice 44645 (Tennessee)Primary

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. Dr Paul M Haidak allows following entities to bill medicare on his behalf.
Entity NameAmg-southern Tennessee Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164789467
PECOS PAC ID: 5991765943
Enrollment ID: O20041013001206
Entity NameBluebird Recovery Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730892837
PECOS PAC ID: 8325401417
Enrollment ID: O20230822002670

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. Dr Paul M Haidak 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 AddressPractice Location Address
Dr Paul M Haidak, MD
105 Ledford Mill Rd Ste B,
Tullahoma, TN 37388-8262

Ph: (931) 841-3311		Dr Paul M Haidak, MD
105 Ledford Mill Rd, Suite B,
Tullahoma, TN 37388-8261

Ph: (931) 841-3311

Reviews and Comments


General Practice Doctors in Tullahoma, TN

Robert F Kasa, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 127 Ledford Mill Rd Ste B, Tullahoma, TN 37388
Phone: 931-841-3311    Fax: 931-841-3314

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.