Dr Jonathan Tyler Laack, DO - Medicare Emergency Medicine in Weston, WI

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Dr Jonathan Tyler Laack, DO is a medicare enrolled "Emergency Medicine" physician in Weston, Wisconsin. His current practice location is 3400 Ministry Pkwy, Weston, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 393-3000.

Dr Jonathan Tyler Laack is licensed to practice in Wisconsin (license number 67074) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487090072.

Contact Information

Dr Jonathan Tyler Laack, DO
3400 Ministry Pkwy,
Weston, WI 54476-5220
(715) 393-3000
Not Available

Map and Direction




Physician's Profile

Full NameDr Jonathan Tyler Laack
GenderMale
SpecialityEmergency Medicine
Location3400 Ministry Pkwy, Weston, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487090072
  • Provider Enumeration Date: 05/22/2013
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7911209879
  • Enrollment ID: I20170711001590

Medical Identifiers

Medical identifiers for Dr Jonathan Tyler Laack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487090072NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5101020493 (Michigan)Secondary
207P00000XEmergency Medicine 67074 (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 Jonathan Tyler Laack allows following entities to bill medicare on his behalf.
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameAspirus Merrill Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124084678
PECOS PAC ID: 0143117556
Enrollment ID: O20040301001179
Entity NameAspirus Stevens Point Hospital & Clinics, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538112230
PECOS PAC ID: 1850358938
Enrollment ID: O20041210000558
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096

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 Jonathan Tyler Laack 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 AddressPractice Location Address
Dr Jonathan Tyler Laack, DO
3400 Ministry Pkwy,
Weston, WI 54476-5220

Ph: (715) 393-3000		Dr Jonathan Tyler Laack, DO
3400 Ministry Pkwy,
Weston, WI 54476-5220

Ph: (715) 393-3000

Reviews and Comments


Emergency Medicine Doctors in Weston, WI

Dr. Richard Eric Minnihan, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3301 Cranberry Blvd, Weston, WI 54476
Phone: 715-393-3900    
Dr. Mignon Rademan, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Ministry Pkwy, Weston, WI 54476
Phone: 715-393-1000    
Michael J Trobec, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3501 Cranberry Blvd, Weston, WI 54476
Phone: 715-393-1000    
Dr. Steven A Muhle, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3400 Ministry Pkwy, Weston, WI 54476
Phone: 715-393-3000    
Dr. Peter G Topis, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Ministry Pkwy, Weston, WI 54476
Phone: 715-393-1000    
Dr. Thevalojini Thayaparan, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Ministry Pkwy, Weston, WI 54476
Phone: 715-393-3000    
Dr. Ellen J Westdorp, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3400 Ministry Pkwy, Weston, WI 54476
Phone: 715-393-3000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.