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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JEROME MICHAEL TECLAW DDS
NPI 1669439642
Dentist - General Practice in Milwaukee, WI

Active since April 26, 2006Opted out of Medicare · through Jun 22, 2028
131 W LAYTON AVE, SUITE 305, MILWAUKEE, WI 53207(414) 483-3840(414) 769-1130 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerome Michael Teclaw Dds NPPES

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

DR. JEROME MICHAEL TECLAW DDS (NPI 1669439642) is an individual general practice provider in Milwaukee, Wisconsin, licensed in Wisconsin (02745) and active in the NPI registry since April 2006. He has opted out of Medicare through June 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669439642
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEROME MICHAEL TECLAWCredential: DDS
Location Address131 W LAYTON AVE, SUITE 305Milwaukee, WI 53207-5941
Mailing Address3959 N Harcourt PlShorewood, WI 53211-2445 · (414) 962-3972 · Fax (414) 769-1130
Phone(414) 483-3840
Fax(414) 769-1130
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1669439642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 02745
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
131 W LAYTON AVE, Milwaukee, WI 53207
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Jerome Michael Teclaw Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 22, 2016 through June 22, 2028.

Opt-Out Effective DateJune 22, 2016
Opt-Out In Effect ThroughJune 22, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53207 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
$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

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

ENGAGING CARE LLC
In Home Supportive Care
131 W LAYTON AVE, SUITE 307
MILWAUKEE, WI 53207
Milwaukee County (414) 877-1795

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerome Teclaw's NPI number?

The NPI number for Jerome Teclaw is 1669439642. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Jerome Teclaw located?

Jerome Teclaw practices at 131 W Layton Ave Suite 305, Milwaukee, WI 53207. The listed phone number is (414) 483-3840.

What is Jerome Teclaw's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jerome Teclaw enrolled in Medicare?

No. Jerome Teclaw has opted out of Medicare through June 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jerome Teclaw accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Companion Life Insurance Company and 5 other insurers list Jerome Teclaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerome Teclaw was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.