| Kayla Marie Jacobson, | |
|
5300 Memorial Dr, Two Rivers, WI 54241-3923 | |
| (920) 793-6550 | |
| Not Available |
| Full Name | Kayla Marie Jacobson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 5300 Memorial Dr, Two Rivers, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770304016 | NPI | - | NPPES |
| 100309907 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 23535830 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 16541 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Ctr Manitowoc County | Two rivers, WI | Hospital |
| Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Aurora Llc | 0244130557 | 187 |
| Entity Name | Baycare Aurora Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Marie Jacobson, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Kayla Marie Jacobson, 5300 Memorial Dr, Two Rivers, WI 54241-3923 Ph: (920) 793-6550 |
Joanna Smogoleski, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7400 Fax: 920-793-7402 | |
Lisa A Kumbalek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7300 Fax: 920-793-7391 | |
Madelyn E Boney, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2219 Garfield St, Two Rivers, WI 54241 Phone: 920-793-2281 Fax: 920-793-2281 | |
Erica L Dessart, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7420 Fax: 920-793-7430 | |
Mrs. Mackenzie L Zuleger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000 | |
Ms. Amy J Schleunes, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7400 | |
Carey L Willman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2219 Garfield St, Two Rivers, WI 54241 Phone: 920-793-2281 |