| Dr Jake S Vacarella, MD | |
|
N2950 State Road 67, Lake Geneva, WI 53147-2655 | |
| (262) 245-0535 | |
| Not Available |
| Full Name | Dr Jake S Vacarella |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | N2950 State Road 67, Lake Geneva, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104986777 | NPI | - | NPPES |
| 32142800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 36724 (Wisconsin) | Primary |
| 208000000X | Pediatrics | (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jake S Vacarella, MD N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-0535 | Dr Jake S Vacarella, MD N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-0535 |
Shirley M Potsch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4990 Fax: 262-245-2248 | |
Lora A Nerland, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 | |
Shaunna M Lyon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 Fax: 262-245-2248 | |
Joseph P. Klawitter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-2230 Fax: 262-245-2248 | |
Dr. John E Frandolig, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: W3320 S Lakeshore Dr, Lake Geneva, WI 53147 Phone: 262-248-9606 |