Jennifer Takata, DO - Medicare Internal Medicine in Salem, WI

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Jennifer Takata, DO is a medicare enrolled "Internal Medicine" physician in Salem, Wisconsin. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Froedtert South Inc and her current practice location is 7322 236th Ave, Salem, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 671-7560.

Jennifer Takata is licensed to practice in Illinois (license number 036101361) 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 1992724249.

Contact Information

Jennifer Takata, DO
7322 236th Ave,
Salem, WI 53168-9664
(262) 671-7560
(262) 671-7565

Map and Direction




Physician's Profile

Full NameJennifer Takata
GenderFemale
SpecialityInternal Medicine
Experience27 Years
Location7322 236th Ave, Salem, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Takata graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1992724249
  • Provider Enumeration Date: 07/18/2006
  • Last Update Date: 01/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3375446487
  • Enrollment ID: I20061228000380

Medical Identifiers

Medical identifiers for Jennifer Takata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992724249NPI-NPPES
49552-21OtherWIWI LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036101361 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kenosha VnaKenosha, WIHome health agency
Hospice AlliancePleasant prairie, WIHospice
United Hospital SystemKenosha, WIHospital
Ascension All Saints HospitalRacine, WIHospital
Brookside Care CenterKenosha, WINursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Froedtert South Inc9537071196118

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. Jennifer Takata allows following entities to bill medicare on her behalf.
Entity NameFroedtert South Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558305284
PECOS PAC ID: 9537071196
Enrollment ID: O20031103000493
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421

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. Jennifer Takata 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
Jennifer Takata, DO
7322 236th Ave,
Salem, WI 53168-9664

Ph: (262) 671-7560		Jennifer Takata, DO
7322 236th Ave,
Salem, WI 53168-9664

Ph: (262) 671-7560

Reviews and Comments


Internal Medicine Doctors in Salem, WI

Dr. Christopher Bradley Wills, D.O
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7322 236th Ave, Salem, WI 53168
Phone: 262-671-7550    Fax: 262-671-7555

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.