Jacqueline Beaudet, D.C.
Individual provider Active NPI Chiropractor · Madison, WI
NPI 1902952088 · NPPES record last updated Mar 21, 2012
Key facts
- NPI
- 1902952088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1720-012 (WI)
- Practice address
- 217 W Sauthoff Rd
Madison, WI 53704-1146 - Phone
- (608) 442-8016
- Fax
- (608) 442-8018
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1981
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
217 W Sauthoff Rd
Madison, WI 53704-1146
Phone (608) 442-8016
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040115001091 | WI | Practitioner - Chiropractic | 2365343068 | Practice locations: Madison, WI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1720-012 | WI | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1720-012 | WI | Yes |
Addresses
Primary practice location
217 W Sauthoff Rd
Madison, WI 53704-1146
Mailing address
217 W Sauthoff Rd
Madison, WI 53704-1146
Phone (608) 442-8016
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.