Shelly Ann Dillon, FNP-C is a medicare enrolled "Nurse Practitioner" in Westby, Wisconsin. Her current practice location is
100 Melby St, Westby, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 654-3126.
Shelly Ann Dillon is licensed to practice in Wisconsin (license number 14683-33) 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 1720868896.
Provider's Profile
| Full Name | Shelly Ann Dillon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 100 Melby St, Westby, 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: 1720868896
- Provider Enumeration Date: 10/04/2023
- Last Update Date: 02/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688017973
- Enrollment ID: I20240202002505
Medical Identifiers
Medical identifiers for Shelly Ann Dillon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720868896 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 14683-33 (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. Shelly Ann Dillon allows following entities to bill medicare on her behalf.
| Entity Name | Vernon Memorial Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497750921
PECOS PAC ID: 8325958416
Enrollment ID: O20050526000095 |
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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. Shelly Ann Dillon 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 |
|---|
Shelly Ann Dillon, FNP-C
507 S Main St,
Viroqua, WI 54665-2059
Ph: (608) 637-2101 | Shelly Ann Dillon, FNP-C
100 Melby St,
Westby, WI 54667-1012
Ph: (608) 654-3126 |
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