Shannon Skowron, APNP is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Wisconsin. Her current practice location is
W225 N16711 Cedar Park Ct, Jackson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 677-1101.
Shannon Skowron is licensed to practice in Wisconsin (license number 13219) 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 1063128221.
Provider's Profile
| Full Name | Shannon Skowron |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | W225 N16711 Cedar Park Ct, Jackson, 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: 1063128221
- Provider Enumeration Date: 01/30/2023
- Last Update Date: 03/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 4082088224
- Enrollment ID: I20230329003050
Medical Identifiers
Medical identifiers for Shannon Skowron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063128221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 13219 (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 Skowron allows following entities to bill medicare on her behalf.
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699 |
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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. Shannon Skowron 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 |
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Shannon Skowron, APNP
W225n16711 Cedar Park Ct,
Jackson, WI 53037-9222
Ph: (262) 677-1101 | Shannon Skowron, APNP
W225 N16711 Cedar Park Ct,
Jackson, WI 53037-9222
Ph: (262) 677-1101 |
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