Marc Jacobson, DDS - Medicare Dentist in Mequon, WI

Marc Jacobson, DDS is a medicare enrolled "Dentist" provider in Mequon, Wisconsin. His current practice location is 10521 N Port Washington Rd, Mequon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 241-2060.

Marc Jacobson is licensed to practice in Wisconsin (license number 2475-015) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043479827.

Contact Information

Marc Jacobson, DDS
10521 N Port Washington Rd,
Mequon, WI 53092-5584
(262) 241-2060
(262) 241-2064



Healthcare Provider's Profile

Full NameMarc Jacobson
GenderMale
SpecialityDentist
Location10521 N Port Washington Rd, Mequon, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043479827
  • Provider Enumeration Date: 06/05/2008
  • Last Update Date: 06/05/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9234455429
  • Enrollment ID: I20150305002023

Medical Identifiers

Medical identifiers for Marc Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043479827NPI-NPPES
33412900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 2475-015 (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. Marc Jacobson 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 AddressPractice Location Address
Marc Jacobson, DDS
10521 N Port Washington Rd,
Mequon, WI 53092-5584

Ph: (262) 241-2060
Marc Jacobson, DDS
10521 N Port Washington Rd,
Mequon, WI 53092-5584

Ph: (262) 241-2060

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› Verified 7 days ago


Dentist in Mequon, WI

Dr. Gargi Bhagavatula, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6048 W Mequon Rd, Mequon, WI 53092
Phone: 402-213-6077    
Dr. Taylor Leann Dumez, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 11501 N Port Washington Rd Ste 102, Mequon, WI 53092
Phone: 262-241-8880    Fax: 262-241-5250
Dr. John C. Kittleson, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 10521 N Port Washington Rd, Mequon, WI 53092
Phone: 262-241-3141    
Dr. Julia Lynn Snell, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 11501 N Port Washington Rd Ste 102, Mequon, WI 53092
Phone: 262-241-8880    
Dr. Stephan William Klug, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1017 W Glen Oaks Lane, Suite 211, Mequon, WI 53092
Phone: 262-241-4440    Fax: 262-241-3331
Dr. Don Anthony Stoiber, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 10303 N Port Washington Rd, Suite #103a, Mequon, WI 53092
Phone: 262-240-0405    Fax: 262-240-0434

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