| Dr Gregory James Haack, MD | |
| 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | |
| (937) 257-9926 | |
| Not Available | 
| Full Name | Dr Gregory James Haack | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235125261 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 01056726A (Indiana) | Secondary | 
| 207R00000X | Internal Medicine | 35.146219 (Ohio) | Primary | 
| Entity Name | Wright State Physicians Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1114920329 PECOS PAC ID: 7618889320 Enrollment ID: O20031103000097 | 
| Entity Name | Alliance Physicians Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 | 
| Entity Name | South Dayton Acute Care Consultants, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669442950 PECOS PAC ID: 3577452465 Enrollment ID: O20040310001218 | 
| Entity Name | Five Rivers Health Centers | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1104115823 PECOS PAC ID: 9335300904 Enrollment ID: O20120409000638 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Gregory James Haack, MD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-9926 | Dr Gregory James Haack, MD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-9926 | 
| Dr. Amy Lynn-jacobson Schimke, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, 88 Mdos/sgomc, Wright Patterson Afb, OH 45433 Phone: 937-257-1764 Fax: 937-257-1819 | |
| Dr. Amy Gammill Hicks, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2510 5th St, Usafsam/feci, Wright Patterson Afb, OH 45433 Phone: 937-938-2755 | |
| Dr. John Patrick Mitchell, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, Mdos/sgo, Wright Patterson Afb, OH 45433 Phone: 937-257-9145 Fax: 937-656-1830 | |
| Austin Brokamp,  Internal Medicine Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-9612 | |
| Dr. Samuel Raymond Theis, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-1770 | |
| Dr. Brittaini Danielle Bunce, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-0837 |