Dr Annaliese Marie Koller Shumate, DO - Medicare General Practice in Wauwatosa, WI

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Dr Annaliese Marie Koller Shumate, DO is a medicare enrolled "General Practice" physician in Wauwatosa, Wisconsin. Her current practice location is 1155 N Mayfair Rd, 3rd Floor, Department Of Psychiatry, Wauwatosa, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 955-8990.

Dr Annaliese Marie Koller Shumate is licensed to practice in Wisconsin (license number 60433-21) 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 1174812499.

Contact Information

Dr Annaliese Marie Koller Shumate, DO
1155 N Mayfair Rd, 3rd Floor, Department Of Psychiatry,
Wauwatosa, WI 53226-3462
(414) 955-8990
Not Available

Map and Direction




Physician's Profile

Full NameDr Annaliese Marie Koller Shumate
GenderFemale
SpecialityGeneral Practice
Location1155 N Mayfair Rd, Wauwatosa, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174812499
  • Provider Enumeration Date: 04/07/2011
  • Last Update Date: 10/17/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6608016662
  • Enrollment ID: I20130716000248

Medical Identifiers

Medical identifiers for Dr Annaliese Marie Koller Shumate such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174812499NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 60433-21 (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. Dr Annaliese Marie Koller Shumate allows following entities to bill medicare on her behalf.
Entity NameCounty Of Milwaukee
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942362066
PECOS PAC ID: 0446162887
Enrollment ID: O20031104000139

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. Dr Annaliese Marie Koller Shumate 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 AddressPractice Location Address
Dr Annaliese Marie Koller Shumate, DO
1155 N Mayfair Rd, 3rd Floor, Department Of Psychiatry,
Wauwatosa, WI 53226-3462

Ph: (414) 955-8990		Dr Annaliese Marie Koller Shumate, DO
1155 N Mayfair Rd, 3rd Floor, Department Of Psychiatry,
Wauwatosa, WI 53226-3462

Ph: (414) 955-8990

Reviews and Comments


General Practice Doctors in Wauwatosa, WI

Dr. Traci Renae Fritz, M.D.
General Practice
Medicare: Medicare Enrolled
Practice Location: 6100 W State St Apt 404, Wauwatosa, WI 53213
Phone: 254-485-9570    Fax: 414-475-7706
Nikhath Irfana, M.D
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Medicare: Accepting Medicare Assignments
Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213
Phone: 414-454-6753    
Joseph A Locke, D.O
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N Mayfair Rd Ste 630, Wauwatosa, WI 53226
Phone: 262-202-8312    Fax: 414-973-2870
Dr. Vicki Lynn Taylor,
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 11803 W North Ave, Wauwatosa, WI 53226
Phone: 414-258-5522    Fax: 414-258-1337
Dr. Sylvia W Warren, DO
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 11803 W North Ave, Wauwatosa, WI 53226
Phone: 414-258-5522    Fax: 414-258-1337

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.