Jacob David Daigle, - Medicare Nurse Anesthetist, Certified Registered in Amery, WI

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Jacob David Daigle, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Amery, Wisconsin. His current practice location is 265 Griffin St E, Amery, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 268-8000.

Jacob David Daigle is licensed to practice in Wisconsin (license number 1107533-30) 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 1215501218.

Contact Information

Jacob David Daigle,
265 Griffin St E,
Amery, WI 54001-1439
(715) 268-8000
Not Available

Map and Direction




Provider's Profile

Full NameJacob David Daigle
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location265 Griffin St E, Amery, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215501218
  • Provider Enumeration Date: 05/14/2021
  • Last Update Date: 09/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0042669723
  • Enrollment ID: I20231206002081

Medical Identifiers

Medical identifiers for Jacob David Daigle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215501218NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 1107533-30 (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. Jacob David Daigle allows following entities to bill medicare on his behalf.
Entity NameAspirus Rhinelander & Tomahawk Hospitals & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144991340
PECOS PAC ID: 9335059856
Enrollment ID: O20031126000706
Entity NameHudson Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396849303
PECOS PAC ID: 0648183061
Enrollment ID: O20040115000507
Entity NameAmery Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093763518
PECOS PAC ID: 2769391960
Enrollment ID: O20040131000207
Entity NameBaldwin Area Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467496133
PECOS PAC ID: 7911800586
Enrollment ID: O20040310000505
Entity NameWestfields Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881640183
PECOS PAC ID: 2264490960
Enrollment ID: O20090122000350
Entity NameNorth American Partners In Anesthesia Wisconsin Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720733454
PECOS PAC ID: 8729475447
Enrollment ID: O20220428000422

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. Jacob David Daigle 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
Jacob David Daigle,
25102 Thornridge Dr,
Grand Blanc, MI 48439-9277

Ph: (715) 573-8692		Jacob David Daigle,
265 Griffin St E,
Amery, WI 54001-1439

Ph: (715) 268-8000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Amery, WI

Lilia Caamano Mendoza,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 265 Griffin St E, Amery, WI 54001
Phone: 715-268-8000    
Joseph Janka Putz,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 265 Griffin St E, Amery, WI 54001
Phone: 715-268-8000    

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.