Jacqueline M Ashline-schultz, CNM is a
Advanced Practice Midwife based in Lake Delton, Wisconsin. Jacqueline M Ashline-schultz is licensed to practice in Wisconsin (license number ) and her current practice location is
530 Wi Dells Pkwy S, Lake Delton, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 254-5400.
NPI number for Jacqueline M Ashline-schultz is 1659337962 and her current mailing address is Po Box 390, Lake Delton, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659337962.
Provider's Profile
| Full Name | Jacqueline M Ashline-schultz |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 530 Wi Dells Pkwy S, Lake Delton, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659337962
- Provider Enumeration Date: 04/25/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Jacqueline M Ashline-schultz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659337962 | NPI | - | NPPES |
| 60296 | Other | WI | DEAN HEALTH INSURANCE |
| 1044636 | Other | WI | PHYSICIANS PLUS |
| 41190500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 2455-033 (Wisconsin) | Primary |
| 367A00000X | Advanced Practice Midwife | (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. Jacqueline M Ashline-schultz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacqueline M Ashline-schultz, CNM
Po Box 390,
Lake Delton, WI 53940-0390
Ph: (608) 254-5400 | Jacqueline M Ashline-schultz, CNM
530 Wi Dells Pkwy S,
Lake Delton, WI 53940-0390
Ph: (608) 254-5400 |
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