Dr Jack Hudson Deckard, MD in Glendale, WI - Neurological Surgery

Dr Jack Hudson Deckard, MD is a Neurological Surgery physician based in Glendale, Wisconsin. Dr Jack Hudson Deckard is licensed to practice in Wisconsin (license number 24495) and his current practice location is 5150 N Port Washington Rd, Ste 220, Glendale, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (414) 961-0089.

NPI number for Dr Jack Hudson Deckard is 1689618571 and his current mailing address is 5150 N Port Washington Rd, Ste 220, Glendale, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689618571.

Contact Information

	Dr Jack Hudson Deckard, MD
	5150 N Port Washington Rd, Ste 220, Glendale, WI 53217-5474
	(414) 961-0089
	(414) 961-1043

Physician's Profile

Full Name	Dr Jack Hudson Deckard
Gender	Male
Speciality	Neurological Surgery
Location	5150 N Port Washington Rd, Glendale, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1689618571
Provider Enumeration Date: 06/15/2006
Last Update Date: 08/31/2010

Medical Identifiers

Medical identifiers for Dr Jack Hudson Deckard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689618571	NPI	-	NPPES
30464900	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	24495 (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. Dr Jack Hudson Deckard 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
Dr Jack Hudson Deckard, MD 5150 N Port Washington Rd, Ste 220, Glendale, WI 53217-5474 Ph: (414) 961-0089	Dr Jack Hudson Deckard, MD 5150 N Port Washington Rd, Ste 220, Glendale, WI 53217-5474 Ph: (414) 961-0089

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Dr Jack Hudson Deckard, MD - Neurological Surgery in Glendale, WI