Dr Raymond Keith Dehaan, OD in Tillamook, OR - Medicare Optometrist Provider

Dr Raymond Keith Dehaan, OD is a medicare enrolled "Optometrist - Pediatrics" provider in Tillamook, Oregon. His current practice location is 310 Stillwell Ave, Tillamook, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 842-6363.

Dr Raymond Keith Dehaan is licensed to practice in Oregon (license number 2858T) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639221690.

Contact Information

	Dr Raymond Keith Dehaan, OD
	310 Stillwell Ave, Tillamook, OR 97141-2119
	(503) 842-6363
	(503) 842-6204

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Raymond Keith Dehaan
Gender	Male
Speciality	Optometrist - Pediatrics
Location	310 Stillwell Ave, Tillamook, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639221690
Provider Enumeration Date: 01/18/2007
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 1254312739
Enrollment ID: I20120313000798

Medical Identifiers

Medical identifiers for Dr Raymond Keith Dehaan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639221690	NPI	-	NPPES
182761	Medicaid	OR
182762	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2858T (Oregon)	Secondary
152WC0802X	Optometrist - Corneal And Contact Management	2858T (Oregon)	Secondary
152WP0200X	Optometrist - Pediatrics	2858T (Oregon)	Primary

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 Raymond Keith Dehaan allows following entities to bill medicare on his behalf.

Provider Name	Lighthouse Vision Care, P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235325176 PECOS PAC ID: 9638150113 Enrollment ID: O20040528001292

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 Raymond Keith Dehaan 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 Raymond Keith Dehaan, OD 310 Stillwell Ave, Tillamook, OR 97141-2119 Ph: (503) 842-6363	Dr Raymond Keith Dehaan, OD 310 Stillwell Ave, Tillamook, OR 97141-2119 Ph: (503) 842-6363

Reviews and Comments

Optometrist in Tillamook, OR

Lee Michael Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 800 Main Ave Ste A, Tillamook, OR 97141 Phone: 503-842-5568
Lighthouse Vision Care, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 310 Stillwell Ave, Tillamook, OR 97141 Phone: 503-842-6363 Fax: 503-842-6204
Coastal Eyecare Tillamook Llc Optometrist Medicare: Medicare Enrolled Practice Location: 102 Main Ave, Tillamook, OR 97141 Phone: 503-374-0399 Fax: 503-374-0374
Dr. Eric Halperin, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 Main Ave, Suite A, Tillamook, OR 97141 Phone: 503-842-5568 Fax: 503-842-1122
Rowland Vision Care Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 2500 Main Ave N, Tillamook, OR 97141 Phone: 503-453-2940
Dr. Christopher Don Jenck, OD Optometrist Medicare: Medicare Enrolled Practice Location: 800 Main Ave Ste A, Tillamook, OR 97141 Phone: 503-842-5568 Fax: 503-842-1122
Eyes Of Oregon Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 102 Main Ave, Tillamook, OR 97141 Phone: 503-842-4202

Dr Raymond Keith Dehaan, OD - Medicare Optometrist in Tillamook, OR