Jacob Thayer, MD - Medicare Plastic Surgery in Delafield, WI

Jacob Thayer, MD is a medicare enrolled "Plastic Surgery" physician in Delafield, Wisconsin. His current practice location is W307n1497 Golf Rd Ste 200, Delafield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 627-2735.

Jacob Thayer is licensed to practice in Wisconsin (license number 81973) 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 1326499930.

Contact Information

Jacob Thayer, MD
W307n1497 Golf Rd Ste 200,
Delafield, WI 53018-2112
(920) 627-2735
Not Available



Physician's Profile

Full NameJacob Thayer
GenderMale
SpecialityPlastic Surgery
LocationW307n1497 Golf Rd Ste 200, Delafield, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326499930
  • Provider Enumeration Date: 06/24/2016
  • Last Update Date: 09/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284927955
  • Enrollment ID: I20230622000733

Medical Identifiers

Medical identifiers for Jacob Thayer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326499930NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 125.069338 (Illinois)Secondary
208200000XPlastic Surgery 81973 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob Thayer allows following entities to bill medicare on his behalf.
Entity NameMadison Medical Affiliates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588695746
PECOS PAC ID: 5991606337
Enrollment ID: O20040119000018

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Entity NameThayer Surgical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710676846
PECOS PAC ID: 1456719558
Enrollment ID: O20230622000621

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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. Jacob Thayer 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
Jacob Thayer, MD
W307n1497 Golf Rd Ste 200,
Delafield, WI 53018-2112

Ph: (920) 627-2735
Jacob Thayer, MD
W307n1497 Golf Rd Ste 200,
Delafield, WI 53018-2112

Ph: (920) 627-2735

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› Verified 5 days ago


Plastic Surgery Doctors in Delafield, WI

Dr. Maida Ann Parkins, M.D.
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: W307 N1497 Golf Rd, Suite 200, Delafield, WI 53018
Phone: 262-303-4876    

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