Shannon Pham, NP - Medicare Nurse Practitioner in Appleton, WI

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Shannon Pham, NP is a medicare enrolled "Nurse Practitioner - Family" in Appleton, Wisconsin. Her current practice location is 1506 S Oneida St, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 738-2000.

Shannon Pham is licensed to practice in Wisconsin (license number F06201040) 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 1295321370.

Contact Information

Shannon Pham, NP
1506 S Oneida St,
Appleton, WI 54915-1305
(920) 738-2000
Not Available

Map and Direction




Provider's Profile

Full NameShannon Pham
GenderFemale
SpecialityNurse Practitioner - Family
Location1506 S Oneida St, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295321370
  • Provider Enumeration Date: 12/14/2020
  • Last Update Date: 12/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9638585458
  • Enrollment ID: I20210302003045

Medical Identifiers

Medical identifiers for Shannon Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295321370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F06201040 (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. Shannon Pham allows following entities to bill medicare on her behalf.
Entity NameEmergency Medicine Specialists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568413524
PECOS PAC ID: 8729975461
Enrollment ID: O20040228000032
Entity NameAscension Calumet Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376541748
PECOS PAC ID: 7416948427
Enrollment ID: O20040809000191

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. Shannon Pham 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
Shannon Pham, NP
1506 S Oneida St,
Appleton, WI 54915-1305

Ph: (920) 738-2000		Shannon Pham, NP
1506 S Oneida St,
Appleton, WI 54915-1305

Ph: (920) 738-2000

Reviews and Comments


Nurse Practitioner Nurses in Appleton, WI

Ann M Hefter, AGACNP-BC, MSN, BSN
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Dessia J Laxton, APNP
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Phone: 920-731-8900    Fax: 920-738-5369
Katie Geiser, NP
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Practice Location: 5045 W Grande Market Dr, Appleton, WI 54913
Phone: 920-886-9380    
Ingrid K Simpson, FNP-BC
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Practice Location: 2400 E Capitol Dr, Appleton, WI 54911
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Lisa Valiquette, NP
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Practice Location: 2500 E Capitol Dr, Appleton, WI 54911
Phone: 920-738-4600    Fax: 920-738-4792
Kimberly A Romenesko, APNP
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Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-735-7645    Fax: 920-735-7618
Steven R Hamel, APN FP-C
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Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    

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.