Jason P Haack, MD in Evanston, WY - Medicare Otolaryngology

Jason P Haack, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Evanston, Wyoming. He went to University Of Washington School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Otolaryngology. His current practice location is 191 Overthrust Rd, Evanston, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 789-8721.

Jason P Haack is licensed to practice in Wyoming (license number 7953A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407832728.

Contact Information

	Jason P Haack, MD
	191 Overthrust Rd, Evanston, WY 82930-9261
	(307) 789-8721
	(307) 789-8664

Map and Direction

Physician's Profile

Full Name	Jason P Haack
Gender	Male
Speciality	Otolaryngology
Experience	22 Years
Location	191 Overthrust Rd, Evanston, Wyoming
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jason P Haack attended and graduated from University Of Washington School Of Medicine in 2002

NPI Data:

NPI Number: 1407832728
Provider Enumeration Date: 12/19/2005
Last Update Date: 03/15/2017

Medicare PECOS Information:

PECOS PAC ID: 9537054978
Enrollment ID: I20080908000357

Medical Identifiers

Medical identifiers for Jason P Haack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407832728	NPI	-	NPPES
06329001	Other	WY	BCBS WY
1407832728	Medicaid	WY
433920700	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YX0905X	Otolaryngology - Otolaryngology/facial Plastic Surgery	7953A (Wyoming)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Evanston Regional Hospital	Evanston, WY	Hospital
Memorial Hospital Sweetwater County	Rock springs, WY	Hospital
Cheyenne Regional Medical Center	Cheyenne, WY	Hospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jason P Haack allows following entities to bill medicare on his behalf.

Entity Name	Southwest Wyoming Ent Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730335423 PECOS PAC ID: 0244306678 Enrollment ID: O20080908000493

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason P Haack is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jason P Haack, MD 191 Overthrust Rd, Evanston, WY 82930-9261 Ph: (307) 789-8721	Jason P Haack, MD 191 Overthrust Rd, Evanston, WY 82930-9261 Ph: (307) 789-8721

Jason P Haack, MD - Medicare Otolaryngology in Evanston, WY