Jacob Johnson, DO - Medicare Emergency Medicine in Hudson, WI

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Jacob Johnson, DO is a medicare enrolled "Emergency Medicine" physician in Hudson, Wisconsin. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2015 and has 10 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Group Health Plan Inc, Group Health Plan Inc and his current practice location is 405 Stageline Rd, Hudson, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 531-6000.

Jacob Johnson is licensed to practice in Wisconsin (license number 71536-21) 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 1689055154.

Contact Information

Jacob Johnson, DO
405 Stageline Rd,
Hudson, WI 54016-7848
(715) 531-6000
Not Available

Map and Direction




Physician's Profile

Full NameJacob Johnson
GenderMale
SpecialityEmergency Medicine
Experience10 Years
Location405 Stageline Rd, Hudson, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob Johnson attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2015
  NPI Data:
  • NPI Number: 1689055154
  • Provider Enumeration Date: 06/10/2015
  • Last Update Date: 06/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1254633118
  • Enrollment ID: I20190813002339

Medical Identifiers

Medical identifiers for Jacob Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689055154NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5101022137 (Michigan)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine 71536-21 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hudson HospitalHudson, WIHospital
Westfields Hospital And ClinicNew richmond, WIHospital
Amery Hospital & ClinicAmery, WIHospital
Cumberland Memorial HospitalCumberland, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Group Health Plan Inc17592939541487
Group Health Plan Inc17592939541487

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 Johnson allows following entities to bill medicare on his behalf.
Entity NameHudson Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396849303
PECOS PAC ID: 0648183061
Enrollment ID: O20031121000807
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031223000493
Entity NameBlack River Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811940331
PECOS PAC ID: 3173431178
Enrollment ID: O20040128000517
Entity NameAmery Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093763518
PECOS PAC ID: 2769391960
Enrollment ID: O20040131000207
Entity NameBlack River Health Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1811940331
PECOS PAC ID: 3173431178
Enrollment ID: O20061104000654
Entity NameWestfields Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881640183
PECOS PAC ID: 2264490960
Enrollment ID: O20090122000350

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 Johnson 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 AddressPractice Location Address
Jacob Johnson, DO
7090 Stevensville Baroda Rd,
Stevensville, MI 49127-9782

Ph: (715) 497-2112		Jacob Johnson, DO
405 Stageline Rd,
Hudson, WI 54016-7848

Ph: (715) 531-6000

Reviews and Comments


Emergency Medicine Doctors in Hudson, WI

Heather Kaluzniak, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 405 Stageline Rd, Hudson, WI 54016
Phone: 715-531-6000    
Nicholas Hoffmann, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 405 Stageline Rd, Hudson, WI 54016
Phone: 715-531-6000    
Tammie J Haveman,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 405 Stageline Rd, Hudson, WI 54016
Phone: 715-531-6000    
Dr. Brian J Peterson, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 405 Stageline Rd, Hudson, WI 54016
Phone: 715-531-6000    
Kari Haley, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 405 Stageline Rd, Hudson, WI 54016
Phone: 715-531-6000    
Haley Ruth Taormina,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 405 Stageline Rd, Hudson, WI 54016
Phone: 715-531-6000    
Eric Dahl, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 405 Stageline Rd, Hudson, WI 54016
Phone: 715-531-6000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.