Jacob John Wingerter, is a medicare enrolled "Pediatrics" physician in Superior, Colorado. His current practice location is
400 S Mccaslin Blvd Ste 103, Superior, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 666-7337.
Jacob John Wingerter is licensed to practice in Colorado (license number DR0053948) 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 1043501976.
Physician's Profile
| Full Name | Jacob John Wingerter |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 400 S Mccaslin Blvd Ste 103, Superior, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043501976
- Provider Enumeration Date: 04/26/2011
- Last Update Date: 09/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 6204201130
- Enrollment ID: I20230406002751
Medical Identifiers
Medical identifiers for Jacob John Wingerter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043501976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | DR0053948 (Colorado) | 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. Jacob John Wingerter allows following entities to bill medicare on his behalf.
| Entity Name | Commonwealth Healthcare Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285858290 PECOS PAC ID: 7719075167 Enrollment ID: O20071212000093 |
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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. Jacob John Wingerter 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 |
Jacob John Wingerter, 400 S Mccaslin Blvd Ste 103, Superior, CO 80027-9701 Ph: (303) 666-7337 | Jacob John Wingerter, 400 S Mccaslin Blvd Ste 103, Superior, CO 80027-9701 Ph: (303) 666-7337 |
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