Mr Keith J Hacker, PA - Physician Assistant in Port Washington, WI

Mr Keith J Hacker, PA is a Physician Assistant based in Port Washington, Wisconsin. Mr Keith J Hacker is licensed to practice in Wisconsin (license number 523) and his current practice location is 1777 W Grand Ave, Port Washington, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (262) 284-3456.

NPI number for Mr Keith J Hacker is 1952508400 and his current mailing address is 1777 W Grand Ave, Port Washington, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952508400.

Contact Information

Mr Keith J Hacker, PA
1777 W Grand Ave,
Port Washington, WI 53074-2077
(262) 284-3456
Not Available

Map and Direction




Provider's Profile

Full NameMr Keith J Hacker
GenderMale
SpecialityPhysician Assistant
Location1777 W Grand Ave, Port Washington, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1952508400
  • Provider Enumeration Date: 06/28/2007
  • Last Update Date: 11/23/2021

Medical Identifiers

Medical identifiers for Mr Keith J Hacker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952508400NPI-NPPES
1952508400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 523 (Wisconsin)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. Mr Keith J Hacker 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 AddressPractice Location Address
Mr Keith J Hacker, PA
1777 W Grand Ave,
Port Washington, WI 53074-2077

Ph: (262) 284-3456
Mr Keith J Hacker, PA
1777 W Grand Ave,
Port Washington, WI 53074-2077

Ph: (262) 284-3456

Reviews and Comments


Physician Assistant Nurses in Port Washington, WI

Jessica Kristine Conmey, PA- C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1329 W Grand Ave Ste 4, Port Washington, WI 53074
Phone: 262-536-4344    Fax: 262-536-4348
Ms. Anjuli Marie Tuscano, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1777 W Grand Ave, Port Washington, WI 53074
Phone: 262-284-3456    
Alesha J Ewig, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1475 W Grand Ave, Port Washington, WI 53074
Phone: 262-268-5100    

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.