Dr Jacob M Waidelich, MD in Fond Du Lac, WI

Dr Jacob M Waidelich, MD is a medicare enrolled "Anesthesiology" physician in Fond Du Lac, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 2004 and has 21 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Agnesian Healthcare Inc and his current practice location is 430 E Division St, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 926-8340.

Dr Jacob M Waidelich is licensed to practice in Wisconsin (license number 52040-20) 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 1194846998.

Contact Information

	Dr Jacob M Waidelich, MD
	430 E Division St, Fond Du Lac, WI 54935-4560
	(920) 926-8340
	(920) 926-8370

Map and Direction

Physician's Profile

Full Name	Dr Jacob M Waidelich
Gender	Male
Speciality	Anesthesiology
Experience	21 Years
Location	430 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:

Dr Jacob M Waidelich attended and graduated from University Of Wisconsin School Of Medicine in 2004

NPI Data:

NPI Number: 1194846998
Provider Enumeration Date: 04/02/2007
Last Update Date: 12/22/2020

Medicare PECOS Information:

PECOS PAC ID: 8527126622
Enrollment ID: I20081017000615

Medical Identifiers

Medical identifiers for Dr Jacob M Waidelich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194846998	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	52040-20 (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	360

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 M Waidelich 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. Dr Jacob M Waidelich 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 M Waidelich, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340	Dr Jacob M Waidelich, MD 430 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340

Reviews and Comments

Anesthesiology Doctors in Fond Du Lac, WI

Matthew Ryan Purcell, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 812-243-9158
Anthony K Strigenz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-2300
Jacqueline Lee Bogan, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 Fax: 608-262-6247
Ilya A Khotimsky, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300
Henry T Chang, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-2300
Thomas J Kunkel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300

Dr Jacob M Waidelich, MD - Medicare Anesthesiology in Fond Du Lac, WI