Jack W Haas, PA-C - Physician Assistant in Glendive, MT

Jack W Haas, PA-C is a Physician Assistant based in Glendive, Montana. Jack W Haas is licensed to practice in Montana (license number 394) and his current practice location is 202 Prospect Dr, Glendive, Montana. He can be reached at his office (for appointments etc.) via phone at (406) 345-3306.

NPI number for Jack W Haas is 1790701498 and his current mailing address is 202 Prospect Dr, Glendive, Montana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790701498.

Contact Information

Jack W Haas, PA-C
202 Prospect Dr,
Glendive, MT 59330-1943
(406) 345-3306
(406) 345-3358



Provider's Profile

Full NameJack W Haas
GenderMale
SpecialityPhysician Assistant
Location202 Prospect Dr, Glendive, Montana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790701498
  • Provider Enumeration Date: 07/14/2006
  • Last Update Date: 01/30/2014

Medical Identifiers

Medical identifiers for Jack W Haas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790701498NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 394 (Montana)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. Jack W Haas is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack W Haas, PA-C
202 Prospect Dr,
Glendive, MT 59330-1943

Ph: (406) 345-3306
Jack W Haas, PA-C
202 Prospect Dr,
Glendive, MT 59330-1943

Ph: (406) 345-3306

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Physician Assistant Nurses in Glendive, MT

Samuel C Mintz, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 202 Prospect Dr, Glendive, MT 59330
Phone: 406-345-3306    Fax: 406-345-3358
Rodney Hickman, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 202 Prospect Dr, Glendive, MT 59330
Phone: 406-345-3306    Fax: 406-345-3358
Edna M Streit, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 202 Prospect Dr, Glendive, MT 59330
Phone: 406-345-3306    Fax: 406-345-3324
Kayli Carmen Christophel, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 107 Dilworth St, Glendive, MT 59330
Phone: 406-345-8901    Fax: 406-345-8908
David L Nieman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 107 Dilworth St, Glendive, MT 59330
Phone: 406-345-8935    Fax: 406-345-8908
Ms. Audrey J. Kerr, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 202 Prospect Dr, Glendive, MT 59330
Phone: 406-345-3314    Fax: 406-345-3324

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