Mr Peter J Jacques, PT in Appleton, WI - Physical Therapist

Mr Peter J Jacques, PT is a Physical Therapist based in Appleton, Wisconsin. Mr Peter J Jacques is licensed to practice in Wisconsin (license number 3448-024) and his current practice location is W4652 Glenn St, Appleton, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 540-8840.

NPI number for Mr Peter J Jacques is 1699717520 and his current mailing address is W4652 Glenn St, Appleton, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699717520.

Contact Information

	Mr Peter J Jacques, PT
	W4652 Glenn St, Appleton, WI 54913-9563
	(920) 540-8840
	Not Available

Healthcare Provider's Profile

Full Name	Mr Peter J Jacques
Gender	Male
Speciality	Physical Therapist
Location	W4652 Glenn St, Appleton, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1699717520
Provider Enumeration Date: 06/12/2006
Last Update Date: 06/14/2013

Medical Identifiers

Medical identifiers for Mr Peter J Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699717520	NPI	-	NPPES
41750700	Medicaid	WI
40299600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	3448-024 (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. Mr Peter J Jacques 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
Mr Peter J Jacques, PT W4652 Glenn St, Appleton, WI 54913-9563 Ph: (920) 540-8840	Mr Peter J Jacques, PT W4652 Glenn St, Appleton, WI 54913-9563 Ph: (920) 540-8840

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David Michael Denell, MPT LAT/C Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-4101
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Mr Peter J Jacques, PT - Physical Therapist in Appleton, WI