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

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



Physician's Profile

Full NameJason P Haack
GenderMale
SpecialityOtolaryngology
Experience22 Years
Location191 Overthrust Rd, Evanston, Wyoming
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1407832728NPI-NPPES
06329001OtherWYBCBS WY
1407832728MedicaidWY
433920700MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0905XOtolaryngology - Otolaryngology/facial Plastic Surgery 7953A (Wyoming)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Evanston Regional HospitalEvanston, WYHospital
Memorial Hospital Sweetwater CountyRock springs, WYHospital
Cheyenne Regional Medical CenterCheyenne, WYHospital

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 NameSouthwest Wyoming Ent Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730335423
PECOS PAC ID: 0244306678
Enrollment ID: O20080908000493

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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 AddressPractice 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

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Otolaryngology Doctors in Evanston, WY


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