Shannon Marie Vondra, MD in Oak Creek, WI

Shannon Marie Vondra, MD is a medicare enrolled "Pediatrics" physician in Oak Creek, Wisconsin. Her current practice location is 8375 S Howell Ave, Oak Creek, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 764-5726.

Shannon Marie Vondra is licensed to practice in Wisconsin (license number 76533-20) 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 1720616311.

Contact Information

	Shannon Marie Vondra, MD
	8375 S Howell Ave, Oak Creek, WI 53154-8344
	(414) 764-5726
	(414) 764-6954

Map and Direction

Physician's Profile

Full Name	Shannon Marie Vondra
Gender	Female
Speciality	Pediatrics
Location	8375 S Howell Ave, Oak Creek, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720616311
Provider Enumeration Date: 03/30/2020
Last Update Date: 11/20/2023

Medicare PECOS Information:

PECOS PAC ID: 0648659300
Enrollment ID: I20220627001527

Medical Identifiers

Medical identifiers for Shannon Marie Vondra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720616311	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	76533-20 (Wisconsin)	Primary

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 Marie Vondra 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 Marie Vondra, MD 8375 S Howell Ave, Oak Creek, WI 53154-8344 Ph: (414) 764-5726	Shannon Marie Vondra, MD 8375 S Howell Ave, Oak Creek, WI 53154-8344 Ph: (414) 764-5726

Reviews and Comments

Pediatrics Doctors in Oak Creek, WI

Gregg E Tetting, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 E Ryan Rd, Oak Creek, WI 53154 Phone: 414-570-3590
Mallory Hannah Salentine, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8375 S Howell Ave, Oak Creek, WI 53154 Phone: 414-764-5726 Fax: 414-764-6954
Angela M Bier, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8375 S Howell Ave, Oak Creek, WI 53154 Phone: 414-764-5726 Fax: 414-164-6954
Mr. David S. Ogren, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8375 S Howell Ave, Oak Creek, WI 53154 Phone: 414-764-5726 Fax: 414-764-5726
Smriti S Khare, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8661 S Howell Ave, Oak Creek, WI 53154 Phone: 414-764-5726 Fax: 414-764-6954
Randall Lee Fiete, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 980 E Twin Oaks Dr, Oak Creek, WI 53154 Phone: 414-571-9680
Steven J Jereb, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8661 S Howell Ave, Oak Creek, WI 53154 Phone: 414-764-5726 Fax: 414-764-6954

Shannon Marie Vondra, MD - Medicare Pediatrics in Oak Creek, WI