Dr Solomon Shockman, MD | |
510 N 17th Ave, Suite C, Wausau, WI 54401-4200 | |
(715) 849-5333 | |
(715) 849-4083 |
Full Name | Dr Solomon Shockman |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 14 Years |
Location | 510 N 17th Ave, Wausau, 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 |
---|---|---|---|
1427369396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0900X | Dermatology - Dermatopathology | 64362-20 (Wisconsin) | Secondary |
207N00000X | Dermatology | 64362-20 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forefront Dermatology | 3779471701 | 483 |
Entity Name | Forefront Dermatology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083768253 PECOS PAC ID: 3779471701 Enrollment ID: O20040310000252 |
Mailing Address | Practice Location Address |
---|---|
Dr Solomon Shockman, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Dr Solomon Shockman, MD 510 N 17th Ave, Suite C, Wausau, WI 54401-4200 Ph: (715) 849-5333 |
Agnieszka Kubica Thompson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd Ste 305a, Wausau, WI 54401 Phone: 715-847-2626 | |
Andrew C Duncanson, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 510 N 17th Ave Ste C, Wausau, WI 54401 Phone: 715-849-5333 Fax: 715-849-4083 | |
Dr. Michael Patrick Kehoe, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd Ste 305a, Wausau, WI 54401 Phone: 715-847-2626 | |
Lindsey Goddard, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 510 N 17th Ave Ste C, Wausau, WI 54401 Phone: 715-849-5333 Fax: 715-849-4083 | |
Norman F Deffner, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 425 Pine Ridge Blvd, Suite 305a, Wausau, WI 54401 Phone: 715-847-2626 | |
William Owen, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2727 Plaza Drive, Wausau, WI 54401 Phone: 715-847-3535 |