Shanna Larochelle, is a medicare enrolled "Physician Assistant" in Kewaunee, Wisconsin. Her current practice location is
1020 Marquette Dr, Kewaunee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 388-0144.
Shanna Larochelle is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508352311.
Provider's Profile
| Full Name | Shanna Larochelle |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1020 Marquette Dr, Kewaunee, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shanna Larochelle attended and graduated from in
NPI Data:
- NPI Number: 1508352311
- Provider Enumeration Date: 07/04/2018
- Last Update Date: 11/17/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Shanna Larochelle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508352311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Shanna Larochelle 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 |
|---|
Shanna Larochelle,
1020 Marquette Dr,
Kewaunee, WI 54216-1782
Ph: () - | Shanna Larochelle,
1020 Marquette Dr,
Kewaunee, WI 54216-1782
Ph: (920) 388-0144 |
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