Dr Brian R Jakusz, DDS is a
Dentist based in Colgate, Wisconsin. Dr Brian R Jakusz is licensed to practice in Wisconsin (license number 5492015) and his current practice location is
N95w25901 Cty Hwy Q, Suite I, Colgate, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 628-0555.
NPI number for Dr Brian R Jakusz is 1619042686 and his current mailing address is N95w25901 Cty Hwy Q, Suite I, Colgate, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619042686.
Healthcare Provider's Profile
Full Name | Dr Brian R Jakusz |
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Gender | Male |
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Speciality | Dentist |
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Location | N95w25901 Cty Hwy Q, Colgate, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619042686
- Provider Enumeration Date: 11/22/2006
- Last Update Date: 04/29/2011
Medical Identifiers
Medical identifiers for Dr Brian R Jakusz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619042686 | NPI | - | NPPES |
33793900 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 5492015 (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. Dr Brian R Jakusz 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 |
Dr Brian R Jakusz, DDS N95w25901 Cty Hwy Q, Suite I, Colgate, WI 53017-9225 Ph: (262) 628-0555 | Dr Brian R Jakusz, DDS N95w25901 Cty Hwy Q, Suite I, Colgate, WI 53017-9225 Ph: (262) 628-0555 |
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