Jacob Thayer, MD is a medicare enrolled "Plastic Surgery" physician in Delafield, Wisconsin. His current practice location is
W307n1497 Golf Rd Ste 200, Delafield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 627-2735.
Jacob Thayer is licensed to practice in Wisconsin (license number 81973) 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 1326499930.
Physician's Profile
Full Name | Jacob Thayer |
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Gender | Male |
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Speciality | Plastic Surgery |
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Location | W307n1497 Golf Rd Ste 200, Delafield, 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: 1326499930
- Provider Enumeration Date: 06/24/2016
- Last Update Date: 09/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284927955
- Enrollment ID: I20230622000733
Medical Identifiers
Medical identifiers for Jacob Thayer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326499930 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 125.069338 (Illinois) | Secondary |
208200000X | Plastic Surgery | 81973 (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. Jacob Thayer allows following entities to bill medicare on his behalf.
Entity Name | Madison Medical Affiliates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588695746 PECOS PAC ID: 5991606337 Enrollment ID: O20040119000018 |
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Entity Name | Thayer Surgical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710676846 PECOS PAC ID: 1456719558 Enrollment ID: O20230622000621 |
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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. Jacob Thayer 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 |
Jacob Thayer, MD W307n1497 Golf Rd Ste 200, Delafield, WI 53018-2112 Ph: (920) 627-2735 | Jacob Thayer, MD W307n1497 Golf Rd Ste 200, Delafield, WI 53018-2112 Ph: (920) 627-2735 |
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