Keith J Hacker , PA
Physician Assistant • Port Washington, WI
Professional Overview & Biography Verified Profile Summary
Keith Hacker, PA is a registered healthcare professional specializing in Physician Assistant in Port Washington, WI. Practice services are available at 1777 W GRAND AVE under active NPI credentials.
Practice Location & Contact Primary Location
1777 W Grand Ave
Port Washington, WI 530742077
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Port Washington, WI
Practicing in Port Washington, WI (3517 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2021-11-23NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Internal Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Chiropractor
Doctor of Chiropractic
Internal Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Pediatrics
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 1777 W GRAND AVE, PORT WASHINGTON, WI 530742077 (Tel: 2622843456)
Registered at 1777 W GRAND AVE, PORT WASHINGTON, WI 530742077 (Tel: 2622843456)
Recorded as KEITH HACKER, P.A.
Physician Assistant (License #523 in WI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1777 W Grand Ave
Port Washington, WI 530742077
Phone: 2622843456
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