Jason P Haack, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Evanston, Wyoming. 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.
Physician's Profile
Full Name | Jason P Haack |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 191 Overthrust Rd, Evanston, Wyoming |
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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:
- Jason P Haack attended and graduated from in
NPI Data:
- NPI Number: 1407832728
- Provider Enumeration Date: 12/19/2005
- Last Update Date: 03/15/2017
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jason P Haack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407832728 | NPI | - | NPPES |
06329001 | Other | WY | BCBS WY |
1407832728 | Medicaid | WY | |
433920700 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 7953A (Wyoming) | 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. 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 Address | Practice 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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