Jackie Luthardt, MD in Fond Du Lac, WI - Medicare Obstetrics & Gynecology

Jackie Luthardt, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Fond Du Lac, Wisconsin. Her current practice location is 420 E Division St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 926-8450.

Jackie Luthardt is licensed to practice in Wisconsin (license number 81595-20) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679156202.

Contact Information

	Jackie Luthardt, MD
	420 E Division St, Fond Du Lac, WI 54935-4560
	(920) 926-8450
	Not Available

Map and Direction

Physician's Profile

Full Name	Jackie Luthardt
Gender	Female
Speciality	Obstetrics & Gynecology
Location	420 E Division St, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679156202
Provider Enumeration Date: 05/02/2021
Last Update Date: 07/31/2025

Medicare PECOS Information:

PECOS PAC ID: 4486056801
Enrollment ID: I20210708000091

Medical Identifiers

Medical identifiers for Jackie Luthardt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679156202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	81595-20 (Wisconsin)	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. Jackie Luthardt 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
Jackie Luthardt, MD 749 University Row Ste 200, Madison, WI 53705-1465 Ph: () -	Jackie Luthardt, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8450

Reviews and Comments

Obstetrics & Gynecology Doctors in Fond Du Lac, WI

Sara J Riegert, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8450
Christina A Calvello, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8450 Fax: 920-926-8891
Dr. Julie M Dejong, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 960-926-8450 Fax: 920-925-8891
Mary M Schultz, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8450
Brita C Mccullough, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8450
Jeremy M. Bell, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7000
Karen L Meyer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8450

Jackie Luthardt, MD - Medicare Obstetrics & Gynecology in Fond Du Lac, WI