| Dominic Jeffrey Haertling, MD | |
|
212 Hospital Ln Ste 202, Perryville, MO 63775-4204 | |
| (573) 768-3449 | |
| (573) 519-5330 |
| Full Name | Dominic Jeffrey Haertling |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 7 Years |
| Location | 212 Hospital Ln Ste 202, Perryville, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558821413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2023016854 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 2023016854 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Missouri | Poplar bluff, MO | Home health agency |
| Kindred At Home | Rolla, MO | Home health agency |
| Perry County Memorial Hospital | Perryville, MO | Hospital |
| Southeasthealth | Cape girardeau, MO | Hospital |
| Saint Francis Medical Center | Cape girardeau, MO | Hospital |
| Independence Care Center Of Perry County | Perryville, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Hospital Perry | 1153777826 | 116 |
| Entity Name | Mercy Hospital Perry |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063117158 PECOS PAC ID: 1153777826 Enrollment ID: O20231101001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic Jeffrey Haertling, MD 212 Hospital Ln Ste 202, Perryville, MO 63775-4204 Ph: (573) 768-3449 | Dominic Jeffrey Haertling, MD 212 Hospital Ln Ste 202, Perryville, MO 63775-4204 Ph: (573) 768-3449 |
Sandeep C. Rao, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 Hospital Ln Ste 202, Perryville, MO 63775 Phone: 573-768-3239 |