Shannon Broeker, LPC - Medicare Counselor in Port Washington, WI

Shannon Broeker, LPC is a medicare enrolled "Counselor - Professional" provider in Port Washington, Wisconsin. She graduated from healthcare school in 2023 and has 3 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Cornerstone Counseling Services Inc and her current practice location is 1317 W Grand Ave Ste 6, Port Washington, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 427-8905.

Shannon Broeker is licensed to practice in Wisconsin (license number 11969-125) 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 1386488955.

Contact Information

Shannon Broeker, LPC
1317 W Grand Ave Ste 6,
Port Washington, WI 53074-2075
(262) 427-8905
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameShannon Broeker
GenderFemale
SpecialityMental Health Counselor
Experience3 Years
Location1317 W Grand Ave Ste 6, Port Washington, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shannon Broeker graduated from medical school in 2023
  NPI Data:
  • NPI Number: 1386488955
  • Provider Enumeration Date: 06/19/2024
  • Last Update Date: 01/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9234624115
  • Enrollment ID: I20251218000642

Medical Identifiers

Medical identifiers for Shannon Broeker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386488955NPI-NPPES
11969OtherWICOUNSELOR
7529OtherWISTATE OF WISONSIN
11969OtherWISTATEOFWISCONSIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 11969-125 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cornerstone Counseling Services Inc1456256023322

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 Broeker 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 Broeker, LPC
4800 N Scottsdale Rd Ste 2500,
Scottsdale, AZ 85251-7630

Ph: () -
Shannon Broeker, LPC
1317 W Grand Ave Ste 6,
Port Washington, WI 53074-2075

Ph: (262) 427-8905

Reviews and Comments


Counselor in Port Washington, WI

Mrs. Ashley Ann Schmitz, LPC, CSAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 127 N Franklin St Ste 206, Port Washington, WI 53074
Phone: 262-235-4385    Fax: 414-310-0377
Jessica Ollman,
Counselor
Medicare: May Accept Medicare Assignments
Practice Location: 121 W Main St, Port Washington, WI 53074
Phone: 262-284-8148    Fax: 262-284-8209
Mrs. Heather Lynn Carlson, MA, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 121 W Main St, Port Washington, WI 53074
Phone: 262-284-8229    Fax: 262-284-8104
Marcy Drummy, MS, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1317 W Grand Ave, Port Washington, WI 53074
Phone: 262-284-5789    Fax: 262-284-5907
Austin Schultz, LPC
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 1317 W Grand Ave Ste 6, Port Washington, WI 53074
Phone: 262-427-8905    
Emma Lewis, LPC-IT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 121 W Main St, Port Washington, WI 53074
Phone: 262-284-8200    
Bonnie Halper, LPC
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 1317 W Grand Ave, Port Washington, WI 53074
Phone: 262-284-5789    Fax: 262-284-5907

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.