| Timothy L Hagen, DO | |
|
4105 Holiday St Nw, Canton, OH 44718-2531 | |
| (330) 494-2097 | |
| (330) 494-9750 |
| Full Name | Timothy L Hagen |
|---|---|
| Gender | Male |
| Speciality | Neuropsychiatry |
| Experience | 37 Years |
| Location | 4105 Holiday St Nw, Canton, Ohio |
| 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 |
|---|---|---|---|
| 1205860897 | NPI | - | NPPES |
| 0966638 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 34005146 (Ohio) | Primary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 34005416 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
| Mcleod Health Clarendon | Manning, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcleod Regional Medical Center Of The Pee Dee, Inc | 7416851852 | 401 |
| Entity Name | Mcleod Regional Medical Center Of The Pee Dee, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154371433 PECOS PAC ID: 7416851852 Enrollment ID: O20031126000251 |
| Entity Name | Mcleod Medical Center-dillon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720033988 PECOS PAC ID: 3476465311 Enrollment ID: O20031203000480 |
| Entity Name | Mcleod Loris Seacoast Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265708119 PECOS PAC ID: 9133394398 Enrollment ID: O20120710000230 |
| Entity Name | Mcleod Health Cheraw |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275912974 PECOS PAC ID: 7911228259 Enrollment ID: O20151218002079 |
| Entity Name | Mcleod Health Clarendon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508218793 PECOS PAC ID: 0840582656 Enrollment ID: O20160915000930 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy L Hagen, DO 4105 Holiday St Nw, Canton, OH 44718-2531 Ph: (330) 494-2097 | Timothy L Hagen, DO 4105 Holiday St Nw, Canton, OH 44718-2531 Ph: (330) 494-2097 |
Dr. John A Nadas, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1330 Mercy Dr Nw, Suite 320, Canton, OH 44708 Phone: 330-489-1495 | |
Ms. Vinod Sharma, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4150 Belden Village St Nw, Suite 600, Canton, OH 44718 Phone: 330-493-4553 Fax: 330-493-3761 | |
Dr. Krishnan Sivaram, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 625 Cleveland Ave Nw, Canton, OH 44702 Phone: 330-455-0374 Fax: 330-453-6716 | |
Osamuedemen Iyoha, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 625 Cleveland Ave Nw, Canton, OH 44702 Phone: 330-445-2677 Fax: 330-455-2101 | |
Dr. Nageswara Rao Kommareddi, M.D., Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 733 Market Ave S, Canton, OH 44702 Phone: 330-486-4600 Fax: 330-489-4567 | |
Dr. John Charles Andreozzi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2600 Sixth St Sw Fl 6, Canton, OH 44710 Phone: 308-303-3933 Fax: 234-521-7091 |