Mark J Haganman, DO
Individual provider Active NPI Family Medicine Physician · Osage, IA
NPI 1801988415 · NPPES record last updated Aug 10, 2020
Key facts
- NPI
- 1801988415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02681 (IA)
- Practice address
- 620 N 8TH St
Osage, IA 50461-1456 - Phone
- (641) 732-6100
- Fax
- (641) 732-6108
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson County Hospital
Practice addresses (Care Compare)
2000 S Main St
Fairfield, IA 52556-9572
Phone (641) 472-4111
Hospital & facility affiliations
- Jefferson County Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100614000523 | IA | Practitioner - Family Practice | 5395875629 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02681 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitchell County Memorial Hospital | Current |
Accepting new patients | |
| Jefferson County Hospital | Family Medicine | Current |
Accepting new patients |
| Jefferson County Hospital | Current |
Accepting new patients | |
| Floyd County Memorial Hospital Commission | Family Medicine | Current | Accepting new patients |
| Floyd County Memorial Hospital Commission | Family Medicine | Current |
Accepting new patients |
| Jefferson County Hospital | Current |
Accepting new patients | |
| Floyd County Memorial Hospital Commission | Current | Accepting new patients | |
| Mitchell County Memorial Hospital | Current |
Accepting new patients |
Locations
800 11th St
Charles City, IA 50616
Phone (641) 228-6830
1501 S Main St
Ste 6
Charles City, IA 50616
Phone (641) 228-5151
2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204
1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704
616 N 8th St
Osage, IA 50461
Phone (641) 732-6000
620 N 8th St
Osage, IA 50461
Phone (641) 732-6100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02681 | IA | Yes |
Addresses
Primary practice location
620 N 8TH St
Osage, IA 50461-1456
Mailing address
620 N 8TH St
Osage, IA 50461-1456
Phone (641) 494-3041
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11686 | Other | IA | WELLMARK |
| 3063842 | Medicaid | IA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mark.haganman@trinityhealthia.medicityia.net | Direct |
Other providers in Osage, IA
- Comprehensive Systems, Inc
- Draayer Chiropractic, Inc.
- Faith Home Assisted Living Corporation
- Faith Lutheran Home
- Gerdts Podiatric LLC
- Benson Hargens
- Mary Helweg-Herdliska
- Shannon Henaman-Thompson
- Iarc Os, LLC
- Jakobson Drug & Hallmark Shop
All providers in Osage, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.