| Melanie S Haddox, Md, Llc | |
|
2639 Upton Ave Toledo OH 43606-3936 | |
| (419) 471-1848 | |
| (419) 471-0037 |
| Full Name | Melanie S Haddox, Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2639 Upton Ave, Toledo, Ohio |
| Authorized Official Name and Position | Melanie S Haddox (OWNER) |
| Authorized Official Contact | 4194711848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie S Haddox, Md, Llc 2639 Upton Ave Toledo OH 43606-3936 Ph: (419) 471-1848 | Melanie S Haddox, Md, Llc 2639 Upton Ave Toledo OH 43606-3936 Ph: (419) 471-1848 |
| NPI Number | 1013049261 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 02/12/2010 |
| Medicare PECOS PAC ID | 8325173149 |
|---|---|
| Medicare Enrollment ID | O20100318000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013049261 | NPI | - | NPPES |
| 0593237 | Medicaid | OH | |
| 000000166089 | Other | ANTHEM | |
| 322767 | Other | MHN HMC | |
| 34149182200 | Other | BWC | |
| DE9270 | Other | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35047294T (Ohio) | Primary |
| Provider Name | Melanie S Haddox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609840099 PECOS PAC ID: 6406899822 Enrollment ID: I20050613001201 |
| Provider Name | Patricia A Bair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326034570 PECOS PAC ID: 6901840727 Enrollment ID: I20050613001256 |
| Provider Name | Richard J Baron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215900345 PECOS PAC ID: 5092759852 Enrollment ID: I20050614000213 |
| Provider Name | Linda J Loesch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891767646 PECOS PAC ID: 3870537533 Enrollment ID: I20050614000260 |
| Provider Name | Pamela Jean Marok |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1649613951 PECOS PAC ID: 2961639927 Enrollment ID: I20131218001602 |
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