| Dr Donald Douglas Hackenberg, MD | |
|
857 Graham Rd, Cuyahoga Falls, OH 44221-1170 | |
| (330) 923-9585 | |
| (216) 427-9148 |
| Full Name | Dr Donald Douglas Hackenberg |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 857 Graham Rd, Cuyahoga Falls, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396737383 | NPI | - | NPPES |
| 2070922 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35071363 (Ohio) | Primary |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Donald Douglas Hackenberg, MD 857 Graham Rd, Cuyahoga Falls, OH 44221-1170 Ph: (330) 923-9585 | Dr Donald Douglas Hackenberg, MD 857 Graham Rd, Cuyahoga Falls, OH 44221-1170 Ph: (330) 923-9585 |
Kelsie Lynn Moeller, Pediatrics Medicare: Medicare Enrolled Practice Location: 857 Graham Rd, Cuyahoga Falls, OH 44221 Phone: 330-923-9585 Fax: 216-427-9148 | |
Carli Zak Sebest, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 Portage Trl, Cuyahoga Falls, OH 44223 Phone: 330-920-8333 | |
Carrie Cuffman, Pediatrics Medicare: Medicare Enrolled Practice Location: 857 Graham Rd, Cuyahoga Falls, OH 44221 Phone: 330-923-9585 |