1836 SOUTH AVE
LA CROSSE, WI 54601-5429 US PECOS Enrolled
Jake Anthony Deviley
Internal Medicine Physician
- LA CROSSE, WI
- Phone: (608)-782-7300
- Last Updated 12/12/2023
Overview
Jake Anthony Deviley is a Internal Medicine Physician in the LA CROSSE area. Jake Anthony Deviley primary office location is at 1836 SOUTH AVE and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164162475 and the information was updated approximately 1 year ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| - | WI |
| 82701 | WI |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | WI | Y |
| Student - Taxonomy Code 390200000X | WI | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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