Dr Jay David Raisen, MD is a medicare enrolled "Otolaryngology" physician in Fairfield, Ohio. His current practice location is
2960 Mack Rd Ste 200, Fairfield, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 860-5200.
Dr Jay David Raisen is licensed to practice in Ohio (license number 35.152739) 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 1740305473.
Physician's Profile
| Full Name | Dr Jay David Raisen |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2960 Mack Rd Ste 200, Fairfield, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jay David Raisen attended and graduated from in
NPI Data:
- NPI Number: 1740305473
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 04/25/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jay David Raisen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740305473 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 014566 (Maine) | Secondary |
| 207Y00000X | Otolaryngology | 11025 (North Dakota) | Secondary |
| 207Y00000X | Otolaryngology | 38570 (Minnesota) | Secondary |
| 207Y00000X | Otolaryngology | 35.152739 (Ohio) | Primary |
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. Dr Jay David Raisen 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 |
|---|
Dr Jay David Raisen, MD
2960 Mack Rd Ste 200,
Fairfield, OH 45014-5300
Ph: (513) 860-5200 | Dr Jay David Raisen, MD
2960 Mack Rd Ste 200,
Fairfield, OH 45014-5300
Ph: (513) 860-5200 |
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