Shawn P Hennigan, MD | |
2323 N Casaloma Dr, Appleton, WI 54913-8284 | |
(920) 730-8833 | |
Not Available |
Full Name | Shawn P Hennigan |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 30 Years |
Location | 2323 N Casaloma Dr, Appleton, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821026790 | NPI | - | NPPES |
34380900 | Medicaid | WI | |
P00011123 | Other | WI | RAILROAD |
104507348 | Medicaid | MI | |
104641130 | Medicaid | MI | |
104788310 | Medicaid | MI | |
104705943 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 45657 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
Door County Medical Center | Sturgeon bay, WI | Hospital |
Dickinson County Memorial Hospital | Iron mountain, MI | Hospital |
Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hand To Shoulder Center Of Wisconsin Ltd | 6901884337 | 30 |
Entity Name | Baycare Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087 |
Entity Name | Hand To Shoulder Center Of Wisconsin Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760420277 PECOS PAC ID: 6901884337 Enrollment ID: O20040712000584 |
Mailing Address | Practice Location Address |
---|---|
Shawn P Hennigan, MD 3467 Country Winds Ct, Green Bay, WI 54311-6906 Ph: (920) 639-7751 | Shawn P Hennigan, MD 2323 N Casaloma Dr, Appleton, WI 54913-8284 Ph: (920) 730-8833 |
Thomas G Hoeft, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1531 S Madison St, Appleton, WI 54915 Phone: 920-996-3700 Fax: 920-996-3739 | |
Karen Fields, PA Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2105 E. Enterprise Dr, Appleton, WI 54913 Phone: 920-731-3111 Fax: 920-738-8789 | |
Eric W Erickson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 820 E Grant St, Appleton, WI 54911 Phone: 920-831-5050 | |
Dr. Etienne A. Mejia, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 277 Altenhofen Dr, Appleton, WI 54913 Phone: 920-993-1643 Fax: 920-993-1645 | |
Dr. David Albert Liebelt, M.D., PH.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 820 E Grant St, Appleton, WI 54911 Phone: 920-831-5050 | |
Scott Preston Olvey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2323 N Casaloma Dr, Appleton, WI 54913 Phone: 920-730-8833 Fax: 920-831-2968 | |
Nickolas Linkous, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 820 E Grant St, Appleton, WI 54911 Phone: 920-831-5050 Fax: 920-725-6535 |