Dr Shannon Peterson, DC is a medicare enrolled "Chiropractor" provider in Sherwood, Wisconsin. She went to Palmer College Chiropractic - Davenport and graduated in 2001 and has 23 years of diverse experience with area of expertise as Chiropractic. Her current practice location is
N275 Military Rd, Suite 2, Sherwood, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 989-1599.
Dr Shannon Peterson is licensed to practice in Wisconsin (license number 3809-012) 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 1316975683.
Healthcare Provider's Profile
| Full Name | Dr Shannon Peterson |
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| Gender | Female |
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| Speciality | Chiropractic |
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| Experience | 23 Years |
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| Location | N275 Military Rd, Sherwood, 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:
- Dr Shannon Peterson attended and graduated from Palmer College Chiropractic - Davenport in 2001
NPI Data:
- NPI Number: 1316975683
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6608845565
- Enrollment ID: I20040928000275
Medical Identifiers
Medical identifiers for Dr Shannon Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316975683 | NPI | - | NPPES |
| 38937000 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 3809-012 (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. Dr Shannon Peterson allows following entities to bill medicare on her behalf.
| Provider Name | Sherwood Chiropractic Sc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1396812905
PECOS PAC ID: 8628047586
Enrollment ID: O20040928000259 |
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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. Dr Shannon Peterson 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 |
|---|
Dr Shannon Peterson, DC
N275 Military Rd, Suite 2,
Sherwood, WI 54169-9603
Ph: (920) 989-1599 | Dr Shannon Peterson, DC
N275 Military Rd, Suite 2,
Sherwood, WI 54169-9603
Ph: (920) 989-1599 |
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