Mrs Therese L Jaeckle, MSN, APNP - Medicare Nurse Practitioner in Cedarburg, WI

Mrs Therese L Jaeckle, MSN, APNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Cedarburg, Wisconsin. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is W62n248 Washington Ave, Cedarburg, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 375-1116.

Mrs Therese L Jaeckle is licensed to practice in Wisconsin (license number 3319-033) 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 1063696516.

Contact Information

Mrs Therese L Jaeckle, MSN, APNP
W62n248 Washington Ave,
Cedarburg, WI 53012-2768
(262) 375-1116
Not Available

Map and Direction




Provider's Profile

Full NameMrs Therese L Jaeckle
GenderFemale
SpecialityNurse Practitioner
Experience17 Years
LocationW62n248 Washington Ave, Cedarburg, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Therese L Jaeckle graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1063696516
  • Provider Enumeration Date: 12/19/2007
  • Last Update Date: 02/04/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 1951480011
  • Enrollment ID: I20080501000134

Medical Identifiers

Medical identifiers for Mrs Therese L Jaeckle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063696516NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3319-033 (Wisconsin)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 3319-033 (Wisconsin)Primary

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. Mrs Therese L Jaeckle allows following entities to bill medicare on her behalf.
Entity NamePsych Med Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376941963
PECOS PAC ID: 5294053443
Enrollment ID: O20150420000124

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. Mrs Therese L Jaeckle 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 AddressPractice Location Address
Mrs Therese L Jaeckle, MSN, APNP
4670 N 143rd St,
Brookfield, WI 53005-1664

Ph: (262) 781-0297
Mrs Therese L Jaeckle, MSN, APNP
W62n248 Washington Ave,
Cedarburg, WI 53012-2768

Ph: (262) 375-1116

Reviews and Comments


Nurse Practitioner Nurses in Cedarburg, WI

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Practice Location: W63n545 Hanover Ave, Cedarburg, WI 53012
Phone: 262-421-5133    

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).

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