| Brandon Haake, MD | |
|
217 S 3rd St, Danville, KY 40422-1823 | |
| (859) 335-9041 | |
| (859) 335-9072 |
| Full Name | Brandon Haake |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 217 S 3rd St, Danville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740206119 | NPI | - | NPPES |
| 2496553 | Medicaid | OH | |
| 50005459 | Other | KY | PASSPORT |
| 64080898 | Medicaid | KY | |
| 000000330903 | Other | KY | ANTHEM |
| 3000721 | Other | WV | BWC |
| 3810004518 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 38865 (Kentucky) | Primary |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Haake, MD Po Box 1650, Akron, OH 44309-1650 Ph: (330) 864-8900 | Brandon Haake, MD 217 S 3rd St, Danville, KY 40422-1823 Ph: (859) 335-9041 |
Andrew Hamon, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-335-9041 Fax: 859-335-9072 | |
Dr. James A Turpin Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-239-1000 | |
Thomas Nugent, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-335-9041 Fax: 859-335-9072 | |
Marie Seguin, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-335-9041 Fax: 859-335-9072 | |
Alaina Marie King Royalty, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 866-313-5260 | |
Jessica Dennison, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 217 S 3rd St, Danville, KY 40422 Phone: 859-335-9041 Fax: 859-335-9072 | |
Alicia Shirakbari, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 128 Daniel Dr, Danville, KY 40422 Phone: 859-238-0018 |