SUSAN M JACQUEZ-DEAN M.D
NPI 1659482339
Psychiatry & Neurology - Psychiatry in Green Bay, WI

Q: What is Susan Jacquez-dean's NPI number?

The NPI number for Susan Jacquez-dean is 1659482339. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Susan Jacquez-dean's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

1160 KEPLER DR, 2ND FLOOR, GREEN BAY, WI 54311(920) 288-5630(920) 288-5439 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2024, Dec 6, 2021, Aug 29, 2019 and 2 more (5 updates tracked since 2016).

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About Susan M Jacquez-dean M.d NPPES

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

SUSAN M JACQUEZ-DEAN M.D (NPI 1659482339) is an individual psychiatry provider in Green Bay, Wisconsin, licensed in Wisconsin (45956-020) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2002).

NPPES Registry Identity

NPI1659482339

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameSUSAN M JACQUEZ-DEANCredential: M.D

Location Address1160 KEPLER DR, 2ND FLOORGreen Bay, WI 54311-8321

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250 · Fax (920) 288-4539

Phone(920) 288-5630

Fax(920) 288-5439

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2002

Enumeration DateAugust 31, 2006

Last NPPES UpdateJuly 1, 20245 updates tracked since enumeration

NPPES CertifiedJuly 1, 2024

✔ NPI 1659482339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in WI · 45956-020

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1160 KEPLER DR, Green Bay, WI 54311

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Other Identifiers 1

Medicaid34440300WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

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

Susan M Jacquez-dean M.d 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 ID4385545425

PECOS Enrollment IDI20040120000762

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

99 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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

$163.24 typical visit price

range $53.90 – $163.24

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

Most-billed visit code 99205

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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 20

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

ABIGAIL DOBBINS SLP

Speech-Language Pathologist