MEDICARE: MR. BILL WALKER HANEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician	01071971A	IN
2	208VP0014X	Interventional Pain Medicine Physician	22787	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265525653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BILL WALKER HANEY MD

Provider Business Mailing Address
First Line	:	1101 PROFESSIONAL BLVD STE 100
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47714-8018
Country	:	US
Telephone Number	:	812-477-7246
Fax Number	:	812-477-7240

Provider Business Practice Location Address
First Line	:	6400 DUTCHMANS PKWY STE 60
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-3341
Country	:	US
Telephone Number	:	502-708-9880
Fax Number	:	502-708-6911

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	12/18/2019

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