Amanda J Jacobs, PA-C is a medicare enrolled "Physician Assistant" in Pulaski, Wisconsin. Her current practice location is
980 S Saint Augustine St, Pulaski, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 822-7700.
Amanda J Jacobs is licensed to practice in Wisconsin (license number 2678) 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 1740599646.
Provider's Profile
Full Name | Amanda J Jacobs |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 980 S Saint Augustine St, Pulaski, 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:
- Amanda J Jacobs attended and graduated from in
NPI Data:
- NPI Number: 1740599646
- Provider Enumeration Date: 09/27/2010
- Last Update Date: 12/06/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Amanda J Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740599646 | NPI | - | NPPES |
100016926 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 2678 (Wisconsin) | 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. Amanda J Jacobs 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 |
Amanda J Jacobs, PA-C 980 S Saint Augustine St, Pulaski, WI 54162-9453 Ph: (920) 822-7700 | Amanda J Jacobs, PA-C 980 S Saint Augustine St, Pulaski, WI 54162-9453 Ph: (920) 822-7700 |
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