Alisha Frances Fahley, MD in Shawano, WI - Medicare Family Practice

Alisha Frances Fahley, MD is a medicare enrolled "Family Medicine" physician in Shawano, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Thedacare Medical Center - Shawano, Inc. and her current practice location is 100 County Road B, Shawano, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 524-2161.

Alisha Frances Fahley is licensed to practice in Minnesota (license number 56539) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255691515.

Contact Information

	Alisha Frances Fahley, MD
	100 County Road B, Shawano, WI 54166-7072
	(715) 524-2161
	(715) 524-8164

Map and Direction

Physician's Profile

Full Name	Alisha Frances Fahley
Gender	Female
Speciality	Family Practice
Experience	12 Years
Location	100 County Road B, Shawano, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alisha Frances Fahley attended and graduated from University Of Wisconsin School Of Medicine in 2012

NPI Data:

NPI Number: 1255691515
Provider Enumeration Date: 05/21/2012
Last Update Date: 09/01/2015

Medicare PECOS Information:

PECOS PAC ID: 9537301601
Enrollment ID: I20150902003094

Medical Identifiers

Medical identifiers for Alisha Frances Fahley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255691515	NPI	-	NPPES
1255691515	Medicaid	MN
0001-0104860	Other		MEDICA
P01224932	Other		RR MEDICARE
1255691515	Other	MN	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	56539 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare Medical Center - Shawano	Shawano, WI	Hospital
Thedacare Regional Med Ctr - Neenah	Neenah, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thedacare Medical Center - Shawano, Inc.	5890605836	32

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. Alisha Frances Fahley allows following entities to bill medicare on her behalf.

Entity Name	Thedacare, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

Entity Name	Thedacare Medical Center - Shawano, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117

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. Alisha Frances Fahley 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
Alisha Frances Fahley, MD Po Box 8003, Appleton, WI 54912-8003 Ph: (920) 830-5900	Alisha Frances Fahley, MD 100 County Road B, Shawano, WI 54166-7072 Ph: (715) 524-2161

Reviews and Comments

Family Medicine Doctors in Shawano, WI

Dr. Mindy Maria Frimodig, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164
Dr. Richard Dennis Sarnwick, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1346 E Green Bay St, Shawano, WI 54166 Phone: 715-526-8800
Gregory Thatcher, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164
Dr. John Edward Laabs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164
Tod C Lewis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1346 E Green Bay St, Shawano, WI 54166 Phone: 715-526-6244
Cornelius W Hyzer Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-526-3461

Alisha Frances Fahley, MD - Medicare Family Practice in Shawano, WI