Jennifer Takata, DO is a medicare enrolled "Internal Medicine" physician in Salem, Wisconsin. Her current practice location is
7322 236th Ave, Salem, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 671-7560.
Jennifer Takata is licensed to practice in Illinois (license number 036101361) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992724249.
Physician's Profile
Full Name | Jennifer Takata |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 7322 236th Ave, Salem, Wisconsin |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jennifer Takata attended and graduated from in
NPI Data:
- NPI Number: 1992724249
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 01/06/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jennifer Takata such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992724249 | NPI | - | NPPES |
49552-21 | Other | WI | WI LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 036101361 (Illinois) | Primary |
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. Jennifer Takata 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 |
Jennifer Takata, DO 7322 236th Ave, Salem, WI 53168-9664 Ph: (262) 671-7560 | Jennifer Takata, DO 7322 236th Ave, Salem, WI 53168-9664 Ph: (262) 671-7560 |
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