Jacob R Warrens, PA is a medicare enrolled "Physician Assistant" in Brillion, Wisconsin. He went to St. Louis College Of Physicians And Surgeons and graduated in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Bellin Memorial Hospital Inc and his current practice location is
964 W Ryan St, Suite B, Brillion, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 756-2055.
Jacob R Warrens is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972925790.
Provider's Profile
| Full Name | Jacob R Warrens |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 11 Years |
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| Location | 964 W Ryan St, Brillion, Wisconsin |
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| Accepts Medicare Assignments | Yes. He 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:
- Jacob R Warrens attended and graduated from St. Louis College Of Physicians And Surgeons in 2013
NPI Data:
- NPI Number: 1972925790
- Provider Enumeration Date: 01/14/2014
- Last Update Date: 07/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224268701
- Enrollment ID: I20140228001499
Medical Identifiers
Medical identifiers for Jacob R Warrens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972925790 | NPI | - | NPPES |
| 1117090 | Other | | NCCPA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bellin Memorial Hospital Inc | 8820900749 | 533 |
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 R Warrens 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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Jacob R Warrens, PA
Po Box 22487,
Green Bay, WI 54305-2487
Ph: (920) 445-7210 | Jacob R Warrens, PA
964 W Ryan St, Suite B,
Brillion, WI 54110-1517
Ph: (920) 756-2055 |
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