Donald J Halke, DO
Individual provider Active NPI Family Medicine Physician · Savannah, TN
NPI 1962794016 · NPPES record last updated Jan 27, 2021
Key facts
- NPI
- 1962794016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2889 (TN)
- Practice address
- 765 Florence Rd
Savannah, TN 38372-3451 - Phone
- (731) 925-2300
- Fax
- (731) 925-3506
- NPI assigned
- May 9, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hardin County Regional Health Center
Practice addresses (Care Compare)
765 Florence Rd
Savannah, TN 38372-5219
Phone (731) 925-2300
Hospital & facility affiliations
- Amedisys Home Health Care
- Deaconess Homecare
- HMC Home Health, LLC
- Hardin Medical Center
- Magnolia Regional Health Center
- Wayne Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20151012000233 | TN | Practitioner - Family Practice | 1557588423 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT014085 | PA | MD | Family Medicine Physician |
| 0102203774 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hardin County Regional Health Center | Current |
Accepting new patients | |
| Hardin County Regional Health Center | Current | Accepting new patients | |
| Hardin County Regional Health Center | Past | Accepting new patients |
Locations
765 Florence Rd
Savannah, TN 38372
Phone (731) 926-2300
765 Florence Rd
Ste A
Savannah, TN 38372
181 S Y Sq
Selmer, TN 38375
Phone (731) 434-0200
Interoperability endpoints
- donald.halke.p1@direct.lifespanhealth.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102203774 | VA | |
| Family Medicine Physician | 207Q00000X | OT014085 | PA | |
| Family Medicine Physician | 207Q00000X | 2889 | TN | Yes |
Addresses
Primary practice location
765 Florence Rd
Savannah, TN 38372-3451
Mailing address
PO Box 655
Savannah, TN 38372-0655
Phone (731) 925-2300
Other providers in Savannah, TN
- Starla Jean Gordon
- Madison Gould
- Kathy Gravett
- Richard Stephen Greene
- Grimes - Bevis Chiropractic, PLLC
- Ionela Alina Halke
- Anjeanette Kittrell Hall
- Lauren Harbin
- Lindsay Nicole Harbin
- Hardin County Board of Education
All providers in Savannah, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2021. 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.