Jamie R Petzke, MD is a medicare enrolled "Hospitalist" physician in Baraboo, Wisconsin. She went to West Virginia University School Of Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Sauk Prairie Healthcare Inc, Ssm Health Care Of Wisconsin Inc and her current practice location is
1700 Tuttle St, Baraboo, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 356-1400.
Jamie R Petzke is licensed to practice in Wisconsin (license number 75717) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811459605.
Physician's Profile
| Full Name | Jamie R Petzke |
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| Gender | Female |
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| Speciality | Hospitalist |
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| Experience | 7 Years |
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| Location | 1700 Tuttle St, Baraboo, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jamie R Petzke attended and graduated from West Virginia University School Of Medicine in 2019
NPI Data:
- NPI Number: 1811459605
- Provider Enumeration Date: 04/02/2019
- Last Update Date: 09/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 5294063970
- Enrollment ID: I20221026002165
Medical Identifiers
Medical identifiers for Jamie R Petzke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811459605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 75717 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sauk Prairie Healthcare Inc | 8224948054 | 93 |
| Ssm Health Care Of Wisconsin Inc | 8527977867 | 30 |
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. Jamie R Petzke allows following entities to bill medicare on her behalf.
| Entity Name | Sauk Prairie Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861466153
PECOS PAC ID: 8224948054
Enrollment ID: O20031208000206 |
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| Entity Name | Ssm Health Care Of Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730160011
PECOS PAC ID: 8527977867
Enrollment ID: O20040326001345 |
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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. Jamie R Petzke 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 |
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Jamie R Petzke, MD
1808 W Beltline Hwy,
Madison, WI 53713-2334
Ph: (608) 280-4647 | Jamie R Petzke, MD
1700 Tuttle St,
Baraboo, WI 53913-3319
Ph: (608) 356-1400 |
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