Melvin A Haggart (NPI# 1902919087, PAC ID# 5496719890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1902919087 |
| PAC ID by PECOS | 5496719890 |
| Professional Enrollment ID | I20041116000384 |
| Full Name | Melvin A Haggart |
| Organization Legal Name | JEFFERSON COUNTY |
| Address |
1541 Annex Rd Jefferson WI 53549-9803 |
| Phone Number | 9206743105 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1972 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | ADDICTION MEDICINE |
| Group Practice PAC ID | 2264496801 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520071 | FORT MEMORIAL HOSPITAL |
| 520116 | WATERTOWN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1541 Annex Rd, Jefferson, WI 53549-9803 | 9206743105 | JEFFERSON COUNTY |
| Organization Legal Name | JEFFERSON COUNTY |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon S Bykowski | Clinical Social Worker | Jefferson County | 1541 Annex Rd, Jefferson, WI 53549-9803 |
| Holly R Pagel | Clinical Social Worker | Jefferson County | 1541 Annex Rd, Jefferson, WI 53549-9803 |
| David Malcolm Fischer | Clinical Social Worker | Jefferson County | 1541 Annex Rd, Jefferson, WI 53549-9803 |
| Karen Marino | Clinical Social Worker | Jefferson County | 1541 Annex Rd, Jefferson, WI 53549-9803 |
| Street Address |
1541 ANNEX RD |
| City | JEFFERSON |
| State | WI |
| Zip | 53549-9803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon S Bykowski | Clinical Social Worker | Jefferson County | 1541 Annex Rd, Jefferson, WI 53549-9803 |
| Holly R Pagel | Clinical Social Worker | Jefferson County | 1541 Annex Rd, Jefferson, WI 53549-9803 |
| David Malcolm Fischer | Clinical Social Worker | Jefferson County | 1541 Annex Rd, Jefferson, WI 53549-9803 |
| Karen Marino | Clinical Social Worker | Jefferson County | 1541 Annex Rd, Jefferson, WI 53549-9803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel F Lee | Nurse Practitioner | Fort Healthcare Inc | 840 W Racine St, Jefferson, WI 53549-1053 |
| Amy E Morgan-tautges | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 279 N Jackson Ave, Jefferson, WI 53549-1092 |
| Alan P Lewis | Chiropractic | 202 N Main St, Jefferson, WI 53549-1149 | |
| David J Volk | Chiropractic | 220 E Racine St, Jefferson, WI 53549-1607 | |
| Daniel Villarreal | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 414 S County Rd Y, Jefferson, WI 53549-9567 |
| Sara Kelly | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 414 S County Rd Y, Jefferson, WI 53549-9567 |
| City | JEFFERSON |
| Zip Code | 53549 |
| Specialty | PSYCHIATRY |
| City + Specialty | JEFFERSON + PSYCHIATRY |
Please comment or provide details below to improve the information on Melvin A Haggart.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.