Dr Jacob Tait Demaster, DO | |
1813 Ashland Ave, Sheboygan, WI 53081-6125 | |
(920) 458-4010 | |
Not Available |
Full Name | Dr Jacob Tait Demaster |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 11 Years |
Location | 1813 Ashland Ave, Sheboygan, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215373147 | NPI | - | NPPES |
100058168 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101020370 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora At Home | Green bay, WI | Home health agency |
Sharon S Richardson Community Hospice | Sheboygan falls, WI | Hospice |
Aurora Sheboygan Memorial Medical Ctr | Sheboygan, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Aurora Quick Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609820729 PECOS PAC ID: 7719996792 Enrollment ID: O20060419000702 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacob Tait Demaster, DO 1813 Ashland Ave, Sheboygan, WI 53081-6125 Ph: (920) 458-4010 | Dr Jacob Tait Demaster, DO 1813 Ashland Ave, Sheboygan, WI 53081-6125 Ph: (920) 458-4010 |
Dr. Thomas Matthew Ambelang, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1145 | |
Connor Hayes Harmann, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Ajhani Kesavan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1411 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-496-4700 Fax: 603-228-7307 | |
Katie Gesch, D.O., M.S. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-496-4700 | |
Dr. James R Pawlak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1703 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-457-4438 Fax: 920-457-6748 | |
Jayapriya Palaniappan, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Bora You, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1483 |