Jacob Timothy Wagner, DPM - Medicare Podiatrist in La Crosse, WI

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Jacob Timothy Wagner, DPM is a medicare enrolled "Podiatrist" provider in La Crosse, Wisconsin. His current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 782-7300.

Jacob Timothy Wagner is licensed to practice in Wisconsin (license number 1303) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790304442.

Contact Information

Jacob Timothy Wagner, DPM
1836 South Ave,
La Crosse, WI 54601-5429
(608) 782-7300
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacob Timothy Wagner
GenderMale
SpecialityPodiatrist
Location1836 South Ave, La Crosse, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790304442
  • Provider Enumeration Date: 04/13/2020
  • Last Update Date: 01/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2961827795
  • Enrollment ID: I20230127002045

Medical Identifiers

Medical identifiers for Jacob Timothy Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790304442NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 1303 (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. Jacob Timothy Wagner allows following entities to bill medicare on his behalf.
Provider NameAscension Medical Group-southeast Wisconsin Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421
Provider NameGundersen Clinic Ltd
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139
Provider NameGundersen Lutheran Medical Center Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1376593442
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254

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. Jacob Timothy Wagner 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
Jacob Timothy Wagner, DPM
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300		Jacob Timothy Wagner, DPM
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300

Reviews and Comments


Podiatrist in La Crosse, WI

Fatemeh S Jannati,
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
James B Ringstrom, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
David M Dawson, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Dr. Scott Collins Carrington, D.P.M
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Bruce B Erdmann, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Briana Lee Mahowald, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 800 West Ave S, La Crosse, WI 54601
Phone: 608-785-0940    
Michael R Quinn, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 800 West Ave S, La Crosse, WI 54601
Phone: 608-392-9872    Fax: 608-392-3955

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.