| Mark Tye Haeberle, | |
|
3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | |
| (502) 583-1749 | |
| (502) 329-8184 |
| Full Name | Mark Tye Haeberle |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 14 Years |
| Location | 3810 Springhurst Blvd, Louisville, 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 |
|---|---|---|---|
| 1558650291 | NPI | - | NPPES |
| 7100215390 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 47890 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associates In Dermatology, Pllc | 1658263876 | 36 |
| Associates In Dermatology, Pllc | 1658263876 | 36 |
| Entity Name | Associates In Dermatology, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629083399 PECOS PAC ID: 1658263876 Enrollment ID: O20040325000047 |
| Entity Name | University Of Louisville Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Tye Haeberle, Po Box 950132, Louisville, KY 40295-0132 Ph: (888) 980-8992 | Mark Tye Haeberle, 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 Ph: (502) 583-1749 |
Mrs. Jyoti B. Burruss, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 Phone: 502-583-1749 Fax: 502-329-8184 | |
Dr. Jae Yeon Jung, M.D., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3810 Springhurst Blvd Ste 200, Louisville, KY 40241 Phone: 502-583-1749 Fax: 502-329-8184 | |
Vilma C Fabre, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2211 Greene Way, Ste 100, Louisville, KY 40220 Phone: 502-495-1162 Fax: 502-495-0156 | |
Elizabeth Veasey, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 800 Zorn Ave, Louisville, KY 40206 Phone: 502-287-4000 | |
Dr. William Brodie Adams, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 310 E Broadway, Suite 200, Louisville, KY 40202 Phone: 502-583-1749 | |
Andrea S Burch, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2307 Greene Way Ste C, Louisville, KY 40220 Phone: 502-806-3376 Fax: 502-213-3999 | |
Dr. Steven J Hodge, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 310 E Broadway, Ste 200, Louisville, KY 40202 Phone: 502-585-5249 Fax: 502-585-5251 |