Dr Paul Eric Shattuck, MD is a medicare enrolled "Internal Medicine" physician in Oxford, Wisconsin. His current practice location is
350 Elk Ave, Oxford, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(999) 999-9999.
Dr Paul Eric Shattuck is licensed to practice in Virginia (license number 0101239166) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902868300.
Physician's Profile
| Full Name | Dr Paul Eric Shattuck |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 350 Elk Ave, Oxford, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902868300
- Provider Enumeration Date: 04/03/2006
- Last Update Date: 10/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 3173895794
- Enrollment ID: I20170816004382
Medical Identifiers
Medical identifiers for Dr Paul Eric Shattuck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902868300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 0101239166 (Virginia) | Primary |
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 Paul Eric Shattuck 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 Paul Eric Shattuck, MD 1902 Cross St, Cross Plains, WI 53528-8859 Ph: Not Available | Dr Paul Eric Shattuck, MD 350 Elk Ave, Oxford, WI 53952-9611 Ph: (999) 999-9999 |
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