Michael A Jones, DO - Medicare Family Medicine in Waupun, WI

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Michael A Jones, DO is a medicare enrolled "Family Medicine" physician in Waupun, Wisconsin. His current practice location is 608 W Brown St, Waupun, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 324-6801.

Michael A Jones is licensed to practice in Wisconsin (license number 53443) 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 1568533966.

Contact Information

Michael A Jones, DO
608 W Brown St,
Waupun, WI 53963-1702
(920) 324-6801
(920) 324-6878

Map and Direction




Physician's Profile

Full NameMichael A Jones
GenderMale
SpecialityFamily Medicine
Location608 W Brown St, Waupun, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568533966
  • Provider Enumeration Date: 11/10/2006
  • Last Update Date: 03/03/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3072656594
  • Enrollment ID: I20100205000666

Medical Identifiers

Medical identifiers for Michael A Jones such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568533966NPI-NPPES
P01185334OtherWIRAILROAD MEDICARE
100006863MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 53443 (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. Michael A Jones allows following entities to bill medicare on his behalf.
Entity NameBeaver Dam Community Hospitals Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972188555
PECOS PAC ID: 2567370539
Enrollment ID: O20040210000666

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. Michael A Jones 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
Michael A Jones, DO
420 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-8340		Michael A Jones, DO
608 W Brown St,
Waupun, WI 53963-1702

Ph: (920) 324-6801

Reviews and Comments


Family Medicine Doctors in Waupun, WI

Dr. Roman Yakov Kaplan, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1 W Lincoln St, Dci Hsu, Waupun, WI 53963
Phone: 920-324-6235    Fax: 920-324-6288
Yves-mario Piverger, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 620 W Brown St, Waupun, WI 53963
Phone: 920-324-5581    
Dr. Manish Sharda, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 608 W Brown St, Waupun, WI 53963
Phone: 920-324-6800    
Peter W Timmermans, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 608 W Brown St, Waupun, WI 53963
Phone: 920-324-6801    
Richard F Mcmahon, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 608 W Brown St, Waupun, WI 53963
Phone: 920-324-6801    
Dr. Thomas Hugh Williams, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1 W Lincoln St, Waupun, WI 53963
Phone: 920-324-6322    Fax: 920-324-6301
Robert D Newton, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 608 W Brown St, Waupun, WI 53963
Phone: 920-324-6801    

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.