Dr Jacqueline Landess, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Dodgeville, Wisconsin. Her current practice location is
1118 Professional Dr, Dodgeville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 935-2838.
Dr Jacqueline Landess is licensed to practice in Wisconsin (license number 7146520) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497066351.
Physician's Profile
Full Name | Dr Jacqueline Landess |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 1118 Professional Dr, Dodgeville, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497066351
- Provider Enumeration Date: 06/25/2010
- Last Update Date: 09/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 9436447406
- Enrollment ID: I20161006000286
Medical Identifiers
Medical identifiers for Dr Jacqueline Landess such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497066351 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | DR.0053994 (Colorado) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 7146520 (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. Dr Jacqueline Landess allows following entities to bill medicare on her behalf.
Entity Name | Slh Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881668051 PECOS PAC ID: 9830132653 Enrollment ID: O20050602000941 |
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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 Jacqueline Landess 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 Address | Practice Location Address |
Dr Jacqueline Landess, MD 1118 Professional Dr, Dodgeville, WI 53533-1176 Ph: (608) 935-2838 | Dr Jacqueline Landess, MD 1118 Professional Dr, Dodgeville, WI 53533-1176 Ph: (608) 935-2838 |
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