Monica I Jacobson, PHD is a
Psychologist based in Kewaunee, Wisconsin. Monica I Jacobson is licensed to practice in Wisconsin (license number 1595057) and her current practice location is
810 Lincoln Street, Kewaunee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 388-7030.
NPI number for Monica I Jacobson is 1003917907 and her current mailing address is 810 Lincoln Street, Kewaunee, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003917907.
Healthcare Provider's Profile
| Full Name | Monica I Jacobson |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 810 Lincoln Street, Kewaunee, 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: 1003917907
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Monica I Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003917907 | NPI | - | NPPES |
| 39089700 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 1595057 (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. Monica I Jacobson 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 |
|---|
Monica I Jacobson, PHD
810 Lincoln Street,
Kewaunee, WI 54216
Ph: (920) 388-7030 | Monica I Jacobson, PHD
810 Lincoln Street,
Kewaunee, WI 54216
Ph: (920) 388-7030 |
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