Jacob Johnson, DO in Hudson, WI - Medicare Family Practice

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 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice 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 Name	Jacob Johnson
Gender	Male
Speciality	Family Practice
Experience	11 Years
Location	405 Stageline Rd, Hudson, 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:

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: 03/10/2026

Medicare PECOS Information:

PECOS PAC ID: 1254633118
Enrollment ID: I20240731000705

Medical Identifiers

Medical identifiers for Jacob Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689055154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	71536-21 (Wisconsin)	Primary
207P00000X	Emergency Medicine	5101022137 (Michigan)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Westfields Hospital And Clinic	New richmond, WI	Hospital
Hudson Hospital	Hudson, WI	Hospital
Amery Hospital & Clinic	Amery, WI	Hospital
Cumberland Memorial Hospital	Cumberland, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Group Health Plan Inc	1759293954	1637

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 Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

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 Address	Practice 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
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: Accepting Medicare Assignments 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
Michelle Mary Nadrchal, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6000

Jacob Johnson, DO - Medicare Family Practice in Hudson, WI