Shawn Patel, DO - Medicare Family Practice in Mequon, WI

Shawn Patel, DO is a medicare enrolled "Family Medicine" physician in Mequon, Wisconsin. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Advocate Health And Hospitals Corporation and his current practice location is 12203 Corporate Pkwy, Mequon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 387-8200.

Shawn Patel is licensed to practice in Wisconsin (license number 101708-875) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073008025.

Contact Information

Shawn Patel, DO
12203 Corporate Pkwy,
Mequon, WI 53092-3388
(262) 387-8200
Not Available

Map and Direction




Physician's Profile

Full NameShawn Patel
GenderMale
SpecialityFamily Practice
Experience6 Years
Location12203 Corporate Pkwy, Mequon, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shawn Patel graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1073008025
  • Provider Enumeration Date: 06/22/2018
  • Last Update Date: 08/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5092066159
  • Enrollment ID: I20210909001516

Medical Identifiers

Medical identifiers for Shawn Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073008025NPI-NPPES
100284348MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 125.073287 (Illinois)Secondary
207Q00000XFamily Medicine 101708-875 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Sherman HospitalElgin, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advocate Health And Hospitals Corporation78108009352484

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. Shawn Patel allows following entities to bill medicare on his behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064

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. Shawn Patel 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
Shawn Patel, DO
Po Box 735044,
Chicago, IL 60673-5044

Ph: (800) 326-2250
Shawn Patel, DO
12203 Corporate Pkwy,
Mequon, WI 53092-3388

Ph: (262) 387-8200

Reviews and Comments


Family Medicine Doctors in Mequon, WI

Henry J Schnitzler Jr., MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 12800 N Port Washington Rd, Mequon, WI 53097
Phone: 262-243-9600    
Krista M Dyreson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6425 W Mequon Rd, Mequon, WI 53092
Phone: 262-242-0051    
Jonathan Katz, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 6425 W Mequon Rd, Mequon, WI 53092
Phone: 262-242-0051    Fax: 262-236-8780
Dr. Mark W Niedfeldt, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 10325 N Port Washington Rd Ste 150, Mequon, WI 53092
Phone: 262-643-4720    Fax: 262-643-4721
Zachary Singer,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6425 W Mequon Rd, Mequon, WI 53092
Phone: 262-242-0051    Fax: 262-236-8780
Richard Lewis, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11649 N Port Washington Rd Ste 114, Mequon, WI 53092
Phone: 262-235-3800    Fax: 262-236-9726

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.