| Marjorie Haas, MD | |
|
130 Kate Ireland Dr, Hyden, KY 41749-9071 | |
| (606) 672-2341 | |
| (606) 672-5254 |
| Full Name | Marjorie Haas |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 130 Kate Ireland Dr, Hyden, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295840114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 49078 (Kentucky) | Primary |
| Entity Name | Appalachian Regional Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871189019 PECOS PAC ID: 0840107835 Enrollment ID: O20031125000520 |
| Entity Name | Appalachian Regional Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861671117 PECOS PAC ID: 0840107835 Enrollment ID: O20080303000476 |
| Entity Name | Arh Mary Breckinridge Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073898102 PECOS PAC ID: 8123293818 Enrollment ID: O20121003000026 |
| Entity Name | Arh Tug Valley Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639949696 PECOS PAC ID: 4183953805 Enrollment ID: O20190905002344 |
| Mailing Address | Practice Location Address |
|---|---|
| Marjorie Haas, MD 234 Village Park Dr, Lebanon, OH 45036-7709 Ph: (513) 310-8288 | Marjorie Haas, MD 130 Kate Ireland Dr, Hyden, KY 41749-9071 Ph: (606) 672-2341 |
Sirish Kumar Palle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 130 Kate Ireland Dr, Hyden, KY 41749 Phone: 606-672-2901 |