Jacob A Haslem, DDS in Tuba City, AZ - Medicare Dentist Provider

Jacob A Haslem, DDS is a medicare enrolled "Dentist" provider in Tuba City, Arizona. His current practice location is 167 N Main Street, Tuba City, Arizona. You can reach out to his office (for appointments etc.) via phone at (801) 318-7475.

Jacob A Haslem is licensed to practice in Arizona (license number 7797) 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 1922237379.

Contact Information

	Jacob A Haslem, DDS
	167 N Main Street, Tuba City, AZ 86045
	(801) 318-7475
	(866) 667-3006

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob A Haslem
Gender	Male
Speciality	Dentist
Location	167 N Main Street, Tuba City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922237379
Provider Enumeration Date: 07/07/2009
Last Update Date: 07/07/2009

Medicare PECOS Information:

PECOS PAC ID: 5890840276
Enrollment ID: I20090909000131

Medical Identifiers

Medical identifiers for Jacob A Haslem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922237379	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	7797 (Arizona)	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. Jacob A Haslem allows following entities to bill medicare on his behalf.

Entity Name	Tuba City Regional Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107

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. Jacob A Haslem 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
Jacob A Haslem, DDS Po Box 600, Tuba City, AZ 86045 Ph: (801) 318-7475	Jacob A Haslem, DDS 167 N Main Street, Tuba City, AZ 86045 Ph: (801) 318-7475

Reviews and Comments

Dentist in Tuba City, AZ

Dr. Kyle Minter Parks, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 167 N Main St., Tuba City, AZ 86045 Phone: 928-283-2672
Dr. Hannah Noel Despain, DMD Dentist Medicare: Medicare Enrolled Practice Location: 167 Main Street, Tuba City, AZ 86045 Phone: 502-851-2734
Ivan F Pacheco, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Dr. Kristin Elizabeth Salamon, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Robert A Palmer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Teresa Diane Kilborn, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 167 N. Main Street, Tuba City, AZ 86045 Phone: 928-283-2590 Fax: 928-283-2591
Christina L. Zeigler, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 167 N. Main St, Tuba City, AZ 86045 Phone: 928-283-2672 Fax: 928-283-2991

Jacob A Haslem, DDS - Medicare Dentist in Tuba City, AZ