Shannon D Fenceroy, in Waukesha, WI - Medicare Counselor Provider

Shannon D Fenceroy, is a medicare enrolled "Counselor - Professional" provider in Waukesha, Wisconsin. Her current practice location is 514 Riverview Ave, Waukesha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 548-7212.

Shannon D Fenceroy is licensed to practice in Wisconsin (license number 7924) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154911352.

Contact Information

	Shannon D Fenceroy,
	514 Riverview Ave, Waukesha, WI 53188-3631
	(262) 548-7212
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon D Fenceroy
Gender	Female
Speciality	Counselor - Professional
Location	514 Riverview Ave, Waukesha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154911352
Provider Enumeration Date: 01/21/2021
Last Update Date: 01/21/2021

Medicare PECOS Information:

PECOS PAC ID: 8921458415
Enrollment ID: I20231226000359

Medical Identifiers

Medical identifiers for Shannon D Fenceroy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154911352	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	7924 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannon D Fenceroy allows following entities to bill medicare on her behalf.

Entity Name	County Of Waukesha Department Of Finance
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740403146 PECOS PAC ID: 3971405481 Enrollment ID: O20040124000130

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon D Fenceroy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shannon D Fenceroy, 5306 W Goodrich Ln, Milwaukee, WI 53223-3646 Ph: (414) 839-7414	Shannon D Fenceroy, 514 Riverview Ave, Waukesha, WI 53188-3631 Ph: (262) 548-7212

Reviews and Comments

Counselor in Waukesha, WI

Stephanie Pattengale, LPC Counselor Medicare: Medicare Enrolled Practice Location: 721 American Ave, Ste 501, Waukesha, WI 53188 Phone: 262-928-4036
Lisa Beth Moore, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 W Broadway Fl 2, Waukesha, WI 53186 Phone: 262-547-5567
Brittany Witty, LPC Counselor Medicare: Medicare Enrolled Practice Location: 741 N Grand Ave Ste 302, Waukesha, WI 53186 Phone: 262-789-1191
Daniel E Hermsen, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: W231 N1440 Corporate Court, Suite 310, Waukesha, WI 53186 Phone: 282-896-6186 Fax: 262-896-6139
Jayne Weyer-smith, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 707 W Moreland Blvd, Suite 5, Waukesha, WI 53188 Phone: 262-542-0123 Fax: 262-542-1199
Amanda J Dowling, PCIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 721 American Ave Ste 501, Waukesha, WI 53188 Phone: 262-928-4036 Fax: 262-928-5096
Jill M Bibler, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 721 American Ave, Suite 501, Waukesha, WI 53188 Phone: 262-928-2396 Fax: 262-544-1213

Shannon D Fenceroy, - Medicare Counselor in Waukesha, WI