Gary D Haas, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Clarkston, Washington. His current practice location is
1119 Highland Ave Ste 11, Clarkston, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 780-4450.
Gary D Haas is licensed to practice in Idaho (license number O-228) 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 1912917618.
Physician's Profile
| Full Name | Gary D Haas |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 1119 Highland Ave Ste 11, Clarkston, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912917618
- Provider Enumeration Date: 08/08/2006
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 5698760908
- Enrollment ID: I20070215000376
Medical Identifiers
Medical identifiers for Gary D Haas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912917618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | O-228 (Idaho) | 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. Gary D Haas allows following entities to bill medicare on his behalf.
| Entity Name | Tri-state Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598814352
PECOS PAC ID: 4082502422
Enrollment ID: O20040911000031 |
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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. Gary D Haas 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 |
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Gary D Haas, DO
2841 Juniper Dr,
Lewiston, ID 83501-4719
Ph: (208) 743-9712 | Gary D Haas, DO
1119 Highland Ave Ste 11,
Clarkston, WA 99403-2836
Ph: (509) 780-4450 |
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