| Jack J Jorgenson, MD | |
|
8020 S Howell Ave, Oak Creek, WI 53154-2930 | |
| (414) 647-3920 | |
| (414) 647-3920 |
| Full Name | Jack J Jorgenson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 8020 S Howell Ave, Oak Creek, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922503168 | NPI | - | NPPES |
| 1922503168 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 71960 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension At Home | Milwaukee, WI | Home health agency |
| Aurora At Home | Milwaukee, WI | Home health agency |
| Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
| Ascension St Francis Hospital | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group-southeast Wisconsin Inc | 8628980943 | 505 |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack J Jorgenson, MD 8020 S Howell Ave, Oak Creek, WI 53154-2930 Ph: (414) 647-3920 | Jack J Jorgenson, MD 8020 S Howell Ave, Oak Creek, WI 53154-2930 Ph: (414) 647-3920 |
Shereen Mohis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 E Ryan Rd, Oak Creek, WI 53154 Phone: 414-570-3590 | |
Lakesha Luckett, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2330 E Chestnut Dr, Oak Creek, WI 53154 Phone: 414-397-2528 | |
Kandipati Sreenivasarao, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000 | |
Dr. Jessica Lynn Woznick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000 Fax: 414-346-8010 | |
Dr. Agnes Prospere, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 E Ryan Rd, Oak Creek, WI 53154 Phone: 414-570-3590 | |
Andrew Brayer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000 Fax: 414-346-8010 | |
Heather Butler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8020 S Howell Ave, Oak Creek, WI 53154 Phone: 414-647-3920 |