Shannan Cantu Santoli, CNM is a medicare enrolled "Midwife" in Cudahy, Wisconsin. Her current practice location is
5050 South Lake Dr., #100510, Cudahy, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 769-2239.
Shannan Cantu Santoli is licensed to practice in Wisconsin (license number 148990-32) 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 1982143335.
Provider's Profile
| Full Name | Shannan Cantu Santoli |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 5050 South Lake Dr., Cudahy, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982143335
- Provider Enumeration Date: 02/17/2017
- Last Update Date: 10/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 8820345945
- Enrollment ID: I20180720001233
Medical Identifiers
Medical identifiers for Shannan Cantu Santoli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982143335 | NPI | - | NPPES |
| 1982143335 | Medicaid | WI | |
| 1000-947-56 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 209015629 (Illinois) | Secondary |
| 176B00000X | Midwife | 148990-32 (Wisconsin) | Primary |
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. Shannan Cantu Santoli allows following entities to bill medicare on her behalf.
| Entity Name | Heartland Women's Healthcare Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851307532
PECOS PAC ID: 1759270648
Enrollment ID: O20040310001225 |
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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. Shannan Cantu Santoli 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 |
|---|
Shannan Cantu Santoli, CNM
5050 South Lake Dr.,
Cudahy, WI 53110-6108
Ph: (618) 997-5266 | Shannan Cantu Santoli, CNM
5050 South Lake Dr., #100510,
Cudahy, WI 53110-6108
Ph: (414) 769-2239 |
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