Dr Jacob Edward Taber, DO in Fort Atkinson, WI

Dr Jacob Edward Taber, DO is a medicare enrolled "Family Medicine" physician in Fort Atkinson, Wisconsin. His current practice location is 740 Reena Ave, Fort Atkinson, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 563-0888.

Dr Jacob Edward Taber is licensed to practice in Wisconsin (license number 81240-21) 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 1235711573.

Contact Information

	Dr Jacob Edward Taber, DO
	740 Reena Ave, Fort Atkinson, WI 53538-3145
	(920) 563-0888
	(920) 568-3516

Map and Direction

Physician's Profile

Full Name	Dr Jacob Edward Taber
Gender	Male
Speciality	Family Medicine
Location	740 Reena Ave, Fort Atkinson, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235711573
Provider Enumeration Date: 04/26/2021
Last Update Date: 08/13/2024

Medicare PECOS Information:

PECOS PAC ID: 4587065149
Enrollment ID: I20240827000079

Medical Identifiers

Medical identifiers for Dr Jacob Edward Taber such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235711573	NPI	-	NPPES
1235711573	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	81240-21 (Wisconsin)	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. Dr Jacob Edward Taber allows following entities to bill medicare on his behalf.

Entity Name	Dean Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

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. Dr Jacob Edward Taber 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
Dr Jacob Edward Taber, DO 740 Reena Ave, Fort Atkinson, WI 53538-3145 Ph: (920) 563-0888	Dr Jacob Edward Taber, DO 740 Reena Ave, Fort Atkinson, WI 53538-3145 Ph: (920) 563-0888

Reviews and Comments

Family Medicine Doctors in Fort Atkinson, WI

Stephen C Riggs, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 Reena Ave, Fort Atkinson, WI 53538 Phone: 920-563-0888 Fax: 920-568-3516
Barry P Cash, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 Reena Ave, Fort Atkinson, WI 53538 Phone: 920-563-0888 Fax: 920-568-3516
Patrick Thomas Daley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1620 Mehta Ln, Fort Atkinson, WI 53538 Phone: 920-563-5544 Fax: 920-563-8884
Shauna J Meyer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Handeyside Ln, Fort Atkinson, WI 53538 Phone: 920-563-5544 Fax: 920-563-8884
Edwin D Fischer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 426 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5500 Fax: 920-563-4472
Ernesto Bogarin Miranda, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-5500

Dr Jacob Edward Taber, DO - Medicare Family Medicine in Fort Atkinson, WI