Jamie Dean Bauknecht, LPN is a
Licensed Practical Nurse based in Crandon, Wisconsin. Jamie Dean Bauknecht is licensed to practice in Wisconsin (license number 318868) and his current practice location is
3144 Vanzile Rd, Crandon, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 478-5180.
NPI number for Jamie Dean Bauknecht is 1689169492 and his current mailing address is 3144 Vanzile Rd, Crandon, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689169492.
Provider's Profile
Full Name | Jamie Dean Bauknecht |
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Gender | Male |
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Speciality | Licensed Practical Nurse |
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Location | 3144 Vanzile Rd, Crandon, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689169492
- Provider Enumeration Date: 06/25/2018
- Last Update Date: 06/25/2018
Medical Identifiers
Medical identifiers for Jamie Dean Bauknecht such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689169492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 318868 (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. Jamie Dean Bauknecht 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 |
Jamie Dean Bauknecht, LPN 3144 Vanzile Rd, Crandon, WI 54520-8149 Ph: () - | Jamie Dean Bauknecht, LPN 3144 Vanzile Rd, Crandon, WI 54520-8149 Ph: (715) 478-5180 |
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