Jake Anthony Deviley, MD in La Crosse, WI - Medicare Internal Medicine

Jake Anthony Deviley, MD is a medicare enrolled "Internal Medicine" physician in La Crosse, Wisconsin. His current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 782-7300.

Jake Anthony Deviley is licensed to practice in Wisconsin (license number 82701) 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 1164162475.

Contact Information

	Jake Anthony Deviley, MD
	1836 South Ave, La Crosse, WI 54601-5429
	(608) 782-7300
	Not Available

Map and Direction

Physician's Profile

Full Name	Jake Anthony Deviley
Gender	Male
Speciality	Internal Medicine
Location	1836 South Ave, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164162475
Provider Enumeration Date: 04/01/2022
Last Update Date: 12/12/2023

Medicare PECOS Information:

PECOS PAC ID: 5496137333
Enrollment ID: I20231221003691

Medical Identifiers

Medical identifiers for Jake Anthony Deviley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164162475	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	82701 (Wisconsin)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(Wisconsin)	Secondary

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. Jake Anthony Deviley allows following entities to bill medicare on his behalf.

Entity Name	Gundersen Lutheran Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254

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. Jake Anthony Deviley 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
Jake Anthony Deviley, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Jake Anthony Deviley, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300

Reviews and Comments

Internal Medicine Doctors in La Crosse, WI

Mary K Frohnauer, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-775-2021
Derek A Hupp, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Allen C. Foster, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Padmavathi Mali, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Emily Catherine Dolan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Adie D Harbin Iii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Gregory M Knorr, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300

Jake Anthony Deviley, MD - Medicare Internal Medicine in La Crosse, WI