Dr David Ray Haisman, OD in Spirit Lake, IA - Medicare Undefined Non-physician Type (specify) Provider

Dr David Ray Haisman, OD is a medicare enrolled "Optometrist" provider in Spirit Lake, Iowa. He went to Illinois College Of Optometry At Chicago and graduated in 2003 and has 21 years of diverse experience with area of expertise as Undefined Non-physician Type (specify). He is a member of the group practice Avera Marshall and his current practice location is 2200 17th St, Spirit Lake, Iowa. You can reach out to his office (for appointments etc.) via phone at (712) 336-8939.

Dr David Ray Haisman is licensed to practice in Iowa (license number 002415) 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 1104902923.

Contact Information

	Dr David Ray Haisman, OD
	2200 17th St, Spirit Lake, IA 51360
	(712) 336-8939
	(712) 336-8952

Map and Direction

Healthcare Provider's Profile

Full Name	Dr David Ray Haisman
Gender	Male
Speciality	Undefined Non-physician Type (specify)
Experience	21 Years
Location	2200 17th St, Spirit Lake, Iowa
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:

Dr David Ray Haisman attended and graduated from Illinois College Of Optometry At Chicago in 2003

NPI Data:

NPI Number: 1104902923
Provider Enumeration Date: 10/27/2006
Last Update Date: 06/17/2014

Medicare PECOS Information:

PECOS PAC ID: 5799190088
Enrollment ID: I20220309002623

Medical Identifiers

Medical identifiers for Dr David Ray Haisman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104902923	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	046009582 (Illinois)	Secondary
152W00000X	Optometrist	002415 (Iowa)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Avera Marshall	5799695227	75

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. Dr David Ray Haisman allows following entities to bill medicare on his behalf.

Provider Name	Avera Marshall
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219

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 David Ray Haisman 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 David Ray Haisman, OD 2200 17th St, Spirit Lake, IA 51360 Ph: (712) 336-8939	Dr David Ray Haisman, OD 2200 17th St, Spirit Lake, IA 51360 Ph: (712) 336-8939

Reviews and Comments

Optometrist in Spirit Lake, IA

Robert L. Livingston, O.d.p.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2600 Highway 9/71, Spirit Lake, IA 51360 Phone: 712-336-8939 Fax: 712-336-8952
Tarra Vander Leest Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1306 18th St, Suite E, Spirit Lake, IA 51360 Phone: 712-336-4401 Fax: 712-336-4403
Tarra L Vander Leest, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1306 18th St, Suite E, Spirit Lake, IA 51360 Phone: 712-336-4401 Fax: 712-336-4403
Dr. Kelly Norland, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2312 23rd St, Spirit Lake, IA 51360 Phone: 712-336-1960 Fax: 712-336-5428
Dr. Randy Franklin Cornwall, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2312 23rd Street, Spirit Lake, IA 51360 Phone: 712-336-1960
Eyecare Centre Optometrist Medicare: Medicare Enrolled Practice Location: 2312 23rd Street, Spirit Lake, IA 51360 Phone: 712-336-1960

Dr David Ray Haisman, OD - Medicare Optometrist in Spirit Lake, IA