Mrs Jessica Dawn Hagen, PA-C in Milwaukee, WI - Medicare Physician Assistant

Mrs Jessica Dawn Hagen, PA-C is a medicare enrolled "Physician Assistant - Medical" in Milwaukee, Wisconsin. Her current practice location is 5330 W. Villard Avenue, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 463-9159.

Mrs Jessica Dawn Hagen is licensed to practice in Wisconsin (license number 2478-023) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194956417.

Contact Information

	Mrs Jessica Dawn Hagen, PA-C
	5330 W. Villard Avenue, Milwaukee, WI 53218
	(414) 463-9159
	(414) 831-0422

Map and Direction

Provider's Profile

Full Name	Mrs Jessica Dawn Hagen
Gender	Female
Speciality	Physician Assistant - Medical
Location	5330 W. Villard Avenue, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194956417
Provider Enumeration Date: 08/04/2009
Last Update Date: 09/21/2012

Medicare PECOS Information:

PECOS PAC ID: 0941450001
Enrollment ID: I20121025000606

Medical Identifiers

Medical identifiers for Mrs Jessica Dawn Hagen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194956417	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	2478-023 (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. Mrs Jessica Dawn Hagen 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
Mrs Jessica Dawn Hagen, PA-C 5330 W. Villard Avenue, Milwaukee, WI 53218 Ph: (414) 463-9159	Mrs Jessica Dawn Hagen, PA-C 5330 W. Villard Avenue, Milwaukee, WI 53218 Ph: (414) 463-9159

Reviews and Comments

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Mrs Jessica Dawn Hagen, PA-C - Medicare Physician Assistant in Milwaukee, WI