Amanda J Jacobs, PA-C is a medicare enrolled "Physician Assistant" in Pulaski, Wisconsin. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Aurora Medical Group, Inc. and 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 | Physician Assistant |
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| Experience | 14 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. |
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Medical Education and Training:
- Amanda J Jacobs graduated from nursing school in 2010
NPI Data:
- NPI Number: 1740599646
- Provider Enumeration Date: 09/27/2010
- Last Update Date: 12/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 9436338985
- Enrollment ID: I20110128001073
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 |
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| 363A00000X | Physician Assistant | 2678 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aurora Medical Group, Inc. | 6709794258 | 3269 |
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 |
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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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