Jack W Romano, PA is a
Physician Assistant - Surgical based in Kimberly, Wisconsin. Jack W Romano is licensed to practice in Washington (license number PA10002119) and his current practice location is
300 W Papermill Run Unit 311, Kimberly, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(206) 940-0962.
NPI number for Jack W Romano is 1114059987 and his current mailing address is 300 W Papermill Run Unit 311, Kimberly, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114059987.
Provider's Profile
| Full Name | Jack W Romano |
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| Gender | Male |
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| Speciality | Physician Assistant - Surgical |
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| Location | 300 W Papermill Run Unit 311, Kimberly, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114059987
- Provider Enumeration Date: 03/09/2007
- Last Update Date: 05/01/2026
Medical Identifiers
Medical identifiers for Jack W Romano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114059987 | NPI | - | NPPES |
| G8864515 | Other | WA | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | PA10002119 (Washington) | Primary |
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. Jack W Romano is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jack W Romano, PA
300 W Papermill Run Unit 311,
Kimberly, WI 54136-5507
Ph: (206) 940-0962 | Jack W Romano, PA
300 W Papermill Run Unit 311,
Kimberly, WI 54136-5507
Ph: (206) 940-0962 |
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