| John Haastrup, MD | |
|
912 N Kentucky Ave # A16, Madisonville, KY 42431-1663 | |
| (270) 825-0813 | |
| Not Available |
| Full Name | John Haastrup |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 912 N Kentucky Ave # A16, Madisonville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760660765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301091214 (Michigan) | Primary |
| Entity Name | Scioto Family And Behavioral Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619440377 PECOS PAC ID: 1850799255 Enrollment ID: O20211015002006 |
| Mailing Address | Practice Location Address |
|---|---|
| John Haastrup, MD 912 N Kentucky Ave # A16, Madisonville, KY 42431-1663 Ph: (270) 825-0813 | John Haastrup, MD 912 N Kentucky Ave # A16, Madisonville, KY 42431-1663 Ph: (270) 825-0813 |
Kristin Wickham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7200 | |
Robert G. Holzknecht, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 444 S Main St, Madisonville, KY 42431 Phone: 270-821-4444 Fax: 270-821-9188 | |
Richard G King, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7200 | |
Catherine S Montz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5646 Fax: 270-825-5648 | |
Michael Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 Madison Square Dr Ste C, Madisonville, KY 42431 Phone: 270-821-6262 | |
Robert Lamont Wood, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-6680 Fax: 270-825-7266 | |
Marium Iqbal, Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-6680 Fax: 270-825-7266 |