Laura Jacques, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Deforest, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 2007 and has 19 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice University Of Wisconsin Medical Foundation Inc and her current practice location is
4200 Savannah Dr, Meriter Deforest-windsor, Deforest, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 414-3300.
Laura Jacques is licensed to practice in Wisconsin (license number 55905) 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 1336335686.
Physician's Profile
| Full Name | Laura Jacques |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 19 Years |
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| Location | 4200 Savannah Dr, Deforest, 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. |
Medical Education and Training:
- Laura Jacques attended and graduated from University Of Wisconsin School Of Medicine in 2007
NPI Data:
- NPI Number: 1336335686
- Provider Enumeration Date: 09/20/2007
- Last Update Date: 02/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204004302
- Enrollment ID: I20110715000260
Medical Identifiers
Medical identifiers for Laura Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336335686 | NPI | - | NPPES |
| 1336335686 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | 55905 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| University Of Wisconsin Medical Foundation Inc | 6608785464 | 2380 |
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. Laura Jacques allows following entities to bill medicare on her behalf.
| Entity Name | University Of Wisconsin Medical Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
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| Entity Name | The Medical College Of Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
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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. Laura Jacques 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 |
Laura Jacques, MD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Laura Jacques, MD 4200 Savannah Dr, Meriter Deforest-windsor, Deforest, WI 53562 Ph: (608) 414-3300 |
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