| Jacob David Daigle, | |
|
265 Griffin St E, Amery, WI 54001-1439 | |
| (715) 268-8000 | |
| Not Available |
| Full Name | Jacob David Daigle |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 265 Griffin St E, Amery, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215501218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1107533-30 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Western Wisconsin Health | Baldwin, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hudson Hospital Inc | 0648183061 | 33 |
| Westfields Hospital Inc | 2264490960 | 79 |
| Baldwin Area Medical Center Inc | 7911800586 | 76 |
| Entity Name | Hudson Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396849303 PECOS PAC ID: 0648183061 Enrollment ID: O20040115000507 |
| Entity Name | Amery Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093763518 PECOS PAC ID: 2769391960 Enrollment ID: O20040131000207 |
| Entity Name | Baldwin Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467496133 PECOS PAC ID: 7911800586 Enrollment ID: O20040310000505 |
| Entity Name | Westfields Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881640183 PECOS PAC ID: 2264490960 Enrollment ID: O20090122000350 |
| Entity Name | North American Partners In Anesthesia Wisconsin Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720733454 PECOS PAC ID: 8729475447 Enrollment ID: O20220428000422 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob David Daigle, 25102 Thornridge Dr, Grand Blanc, MI 48439-9277 Ph: (715) 573-8692 | Jacob David Daigle, 265 Griffin St E, Amery, WI 54001-1439 Ph: (715) 268-8000 |
Lilia Caamano Mendoza, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Joseph Janka Putz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 |