Ms Molly A Jacobson, MS/CCC/SLP is a
Speech-language Pathologist based in Keshena, Wisconsin. Ms Molly A Jacobson is licensed to practice in Wisconsin (license number ) and her current practice location is
N500 State Hwy 47, Keshena, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 756-2324.
NPI number for Ms Molly A Jacobson is 1578496626 and her current mailing address is 602 2nd Ave, Antigo, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578496626.
Healthcare Provider's Profile
| Full Name | Ms Molly A Jacobson |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | N500 State Hwy 47, Keshena, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578496626
- Provider Enumeration Date: 06/08/2026
- Last Update Date: 06/08/2026
Medical Identifiers
Medical identifiers for Ms Molly A Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578496626 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | (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. Ms Molly A Jacobson 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 Address | Practice Location Address |
Ms Molly A Jacobson, MS/CCC/SLP 602 2nd Ave, Antigo, WI 54409-2002 Ph: (715) 350-1737 | Ms Molly A Jacobson, MS/CCC/SLP N500 State Hwy 47, Keshena, WI 54135 Ph: (715) 756-2324 |
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