Laura Jacques, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Deforest, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 2007 and has 18 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice University Of Wisconsin Medical Foundation Inc and her current practice location is
4200 Savannah Dr, Meriter Deforest-windsor, Deforest, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 414-3300.
Laura Jacques is licensed to practice in Wisconsin (license number 55905) 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 1336335686.
Physician's Profile
Full Name | Laura Jacques |
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Gender | Female |
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Speciality | Obstetrics/gynecology |
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Experience | 18 Years |
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Location | 4200 Savannah Dr, Deforest, 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:
- Laura Jacques attended and graduated from University Of Wisconsin School Of Medicine in 2007
NPI Data:
- NPI Number: 1336335686
- Provider Enumeration Date: 09/20/2007
- Last Update Date: 02/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204004302
- Enrollment ID: I20110715000260
Medical Identifiers
Medical identifiers for Laura Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336335686 | NPI | - | NPPES |
1336335686 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 55905 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
University Of Wisconsin Medical Foundation Inc | 6608785464 | 2153 |
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. Laura Jacques allows following entities to bill medicare on her behalf.
Entity Name | University Of Wisconsin Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
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Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
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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. Laura Jacques 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 |
Laura Jacques, MD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Laura Jacques, MD 4200 Savannah Dr, Meriter Deforest-windsor, Deforest, WI 53562 Ph: (608) 414-3300 |
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