Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lucas Marc Hackmann, PA-C

Individual provider Physician Assistant · NPI 1124732045

Lucas Marc Hackmann, PA-C is a Physician Assistant in Milwaukee, Wisconsin. Qualified in 2022, 4 years ago. Practices with Milwaukee Orthopaedic Group Ltd, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-7400
Fax: (414) 805-7388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1700 W Paradise Dr, West Bend, WI 53095-9795 — (262) 334-3451

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7203 (WI)

Record details

NPI number1124732045
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 6, 2023
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Milwaukee Orthopaedic Group Ltd — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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