David Lee Haller, MD in Fond Du Lac, WI - Medicare Gastroenterology

David Lee Haller, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Fond Du Lac, Wisconsin. He went to Illinois Medical College and graduated in 1995 and has 29 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Agnesian Healthcare Inc and his current practice location is 420 E Division St, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 926-8570.

David Lee Haller is licensed to practice in Wisconsin (license number 43137-020) 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 1548214463.

Contact Information

	David Lee Haller, MD
	420 E Division St, Fond Du Lac, WI 54935-4560
	(920) 926-8570
	(920) 926-8923

Map and Direction

Physician's Profile

Full Name	David Lee Haller
Gender	Male
Speciality	Gastroenterology
Experience	29 Years
Location	420 E Division St, Fond Du Lac, Wisconsin
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:

David Lee Haller attended and graduated from Illinois Medical College in 1995

NPI Data:

NPI Number: 1548214463
Provider Enumeration Date: 05/22/2006
Last Update Date: 12/02/2020

Medicare PECOS Information:

PECOS PAC ID: 8820084189
Enrollment ID: I20040429000254

Medical Identifiers

Medical identifiers for David Lee Haller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548214463	NPI	-	NPPES
34061900	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	43137-020 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Agnes Hospital	Fond du lac, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Agnesian Healthcare Inc	1658289624	335

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. David Lee Haller allows following entities to bill medicare on his behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

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. David Lee Haller 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
David Lee Haller, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8570	David Lee Haller, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8570

Reviews and Comments

Internal Medicine Doctors in Fond Du Lac, WI

Balvindar S Sareen, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 315-637-7800 Fax: 315-637-7808
Jay R Muller, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8420 Fax: 920-926-8913
Dana I Vasquez, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8420
Adam P Karewicz, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8420
Punit Kumar, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac Regional Clinic, Fond Du Lac, WI 54935 Phone: 920-926-8420
Dr. Steven Gregory Meress, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 180 Knights Way, Fond Du Lac, WI 54935 Phone: 920-922-5433 Fax: 920-273-0480
Dr. Crystal J Kleiber Balderrama, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8340 Fax: 414-805-6851

David Lee Haller, MD - Medicare Gastroenterology in Fond Du Lac, WI