Jacob J Demelle (NPI# 1558522664, PAC ID# 4587738109) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1558522664 |
| PAC ID by PECOS | 4587738109 |
| Professional Enrollment ID | I20080730000798 |
| Full Name | Jacob J Demelle |
| Organization Legal Name | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Address |
1601 Lawrence Dr Suite 100 De Pere WI 54115-3931 |
| Phone Number | 9204964700 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5799694675 |
| Number of Group Practice Members | 511 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520075 | ST VINCENT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1601 Lawrence Dr, Suite 100, De Pere, WI 54115-3931 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| 3860 Monroe Rd, De Pere, WI 54115-8399 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| 102 N Washington St, Green Bay, WI 54301-4209 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| 2502 S Ashland Ave, Green Bay, WI 54304-5252 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| 2793 Lineville Rd, Green Bay, WI 54313-7152 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| 3021 Voyager Dr, Green Bay, WI 54311-8303 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| 835 S Van Buren St, Green Bay, WI 54301-3526 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| 940 S Saint Augustine St, Pulaski, WI 54162-9453 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Organization Legal Name | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Physicians | 473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manal S Soliman | Family Medicine | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1727 Dousman St, Green Bay, WI 54303-3211 |
| Heather L Lensmire | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 958 Foote St, Seymour, WI 54165-1044 |
| Jenna M Hanson | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Anna J Shaffer | Physical Therapy | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1409 Cleveland Ave, Marinette, WI 54143-3918 |
| Aliaksandr Trusau | Internal Medicine | St Vincent Hospital-hospital Sisters-third Order of St Francis | 620 Smith Ave, Oconto, WI 54153-1080 |
| Elizabeth Ann Ball | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1601 Lawrence Dr, Suite 100, De Pere, WI 54115-3931 |
| Whitney J Brusich | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1686 Eisenhower Rd, De Pere, WI 54115-8145 |
| Alishia L Parma | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1020 Marquette Dr, Kewaunee, WI 54216-1782 |
| Gregory Peyer | Orthopedic Surgery | St Vincent Hospital-hospital Sisters-third Order of St Francis | 853 S Main St, Oconto Falls, WI 54154-1241 |
| Maureen C Mommaerts | Physical Therapy | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1726 Shawano Ave, Green Bay, WI 54303-3216 |
| Street Address |
1601 LAWRENCE DR SUITE 100 |
| City | DE PERE |
| State | WI |
| Zip | 54115-3931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Ann Ball | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1601 Lawrence Dr, Suite 100, De Pere, WI 54115-3931 |
| Caitlyn M Forbes | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1601 Lawrence Dr, Suite 100, De Pere, WI 54115-3931 |
| Dale A Ostrowski | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1601 Lawrence Dr, Suite 100, De Pere, WI 54115-3931 |
| Molly Uvaas | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1601 Lawrence Dr, Suite 100, De Pere, WI 54115-3931 |
| Aaron R Witt | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1601 Lawrence Dr, Suite 100, De Pere, WI 54115-3931 |
| David T Spika | Family Medicine | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1601 Lawrence Dr, Suite 100, De Pere, WI 54115-3931 |
| Zachary J Brylski | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1601 Lawrence Dr, Suite 100, De Pere, WI 54115-3931 |
| Kelly Rae Vandermuss | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1601 Lawrence Dr, Suite 100, De Pere, WI 54115-3931 |
| Jeffrey Van Richards | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1601 Lawrence Dr, Suite 100, De Pere, WI 54115-3931 |
| Elizabeth Waerzeggers | Physical Therapy | St Vincent Hospital-hospital Sisters-third Order of St Francis | 1601 Lawrence Dr, Suite 100, De Pere, WI 54115-3931 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cory D Madison | Chiropractic | 1251 Scheuring Rd, Suite A, De Pere, WI 54115-1003 | |
| Michael David Harkins | Chiropractic | 1251 Scheuring Rd A, De Pere, WI 54115-1003 | |
| Frances Stahl Ballo | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| David E Bertler | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Beth Schroth-seiler | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Bridget M Kilbride | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Kenneth J Pechman | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| David M Kuphal | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Kurt S Holst | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| John S Pujals | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Find all physicians in zip 54115 | |||
| City | DE PERE |
| Zip Code | 54115 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DE PERE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jacob J Demelle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.