| Imad Haddad, MD | |
|
805 Bardstown Rd Ste 12, Springfield, KY 40069-1515 | |
| (859) 481-7113 | |
| (859) 481-7114 |
| Full Name | Imad Haddad |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 805 Bardstown Rd Ste 12, Springfield, Kentucky |
| 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 |
|---|---|---|---|
| 1508880063 | NPI | - | NPPES |
| 000000316729 | Other | KY | ANTHEM |
| 64065865 | Medicaid | KY | |
| 50005469 | Other | KY | PASSPORT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 37821 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ephraim Mcdowell Regional Medical Center | Danville, KY | Hospital |
| Spring View Hospital | Lebanon, KY | Hospital |
| Ephraim Mcdowell Fort Logan Hospital | Stanford, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stanford Wellcare Clinic Pllc | 3375945785 | 2 |
| Family Wellcare Clinic Pllc | 4688940240 | 2 |
| 24 On Physicians Pc | 5698688141 | 239 |
| Entity Name | 24 On Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679522346 PECOS PAC ID: 5698688141 Enrollment ID: O20061012000513 |
| Entity Name | Family Wellcare Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619496395 PECOS PAC ID: 4688940240 Enrollment ID: O20171026000306 |
| Entity Name | Stanford Wellcare Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861071219 PECOS PAC ID: 3375945785 Enrollment ID: O20210707003906 |
| Mailing Address | Practice Location Address |
|---|---|
| Imad Haddad, MD 805 Bardstown Rd Ste 12, Springfield, KY 40069-1515 Ph: (859) 481-7113 | Imad Haddad, MD 805 Bardstown Rd Ste 12, Springfield, KY 40069-1515 Ph: (859) 481-7113 |
Paula D Johnson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6478 Loretto Rd, Springfield, KY 40069 Phone: 253-431-7011 | |
Julia Keeling Brown, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 219 W Main St, Springfield, KY 40069 Phone: 859-336-7795 Fax: 859-336-7020 |