DR. JAIME QUEZADA MD - NPI 1356432660 - Family Medicine in Lake Geneva, WI

Q: What is Jaime Quezada's NPI number?

The NPI number for Jaime Quezada is 1356432660. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Q: What is Jaime Quezada's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaime Quezada was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Jaime Quezada Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAIME QUEZADA MD (NPI 1356432660) is an individual family medicine provider in Lake Geneva, Wisconsin, licensed in Wisconsin (47086-20) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Waupun Memorial Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2000).

NPPES Registry Identity

NPI1356432660

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAIME QUEZADACredential: MD

Location Address350 PELLER RDLake Geneva, WI 53147-4543

Mailing Address350 Peller RdLake Geneva, WI 53147-4543 · (262) 249-0221 · Fax (262) 249-0633

Phone(262) 249-0221

Fax(262) 249-0633

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2000

Enumeration DateSeptember 28, 2006

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedDecember 31, 2020

✔ NPI 1356432660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 47086-20✔ Licensed in WI · 36520

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

350 PELLER RD, Lake Geneva, WI 53147

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Other Identifiers 1

Medicaid34581200WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jaime Quezada Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264409820

PECOS Enrollment IDI20040913001295

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Waupun Memorial Hospital

Critical Access Hospitals · Waupun, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521327

Location620 W Brown StWaupun, WI 53963 · Fond Du Lac County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FARAH SHAUKAT MD

Family Medicine