Dr Shannon Marie Sullivan, MD in Menasha, WI

Dr Shannon Marie Sullivan, MD is a medicare enrolled "Family Medicine" physician in Menasha, Wisconsin. Her current practice location is 2005 Midway Rd, Menasha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 832-8500.

Dr Shannon Marie Sullivan is licensed to practice in Wisconsin (license number 66251) 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 1972998680.

Contact Information

	Dr Shannon Marie Sullivan, MD
	2005 Midway Rd, Menasha, WI 54952
	(920) 832-8500
	(920) 993-2919

Map and Direction

Physician's Profile

Full Name	Dr Shannon Marie Sullivan
Gender	Female
Speciality
Experience	Years
Location	2005 Midway Rd, Menasha, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shannon Marie Sullivan attended and graduated from in

NPI Data:

NPI Number: 1972998680
Provider Enumeration Date: 03/31/2015
Last Update Date: 09/13/2018

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Shannon Marie Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972998680	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	66251 (Wisconsin)	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 Shannon Marie Sullivan 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 Marie Sullivan, MD 122 E College Ave, Appleton, WI 54911-5794 Ph: (920) 996-3264	Dr Shannon Marie Sullivan, MD 2005 Midway Rd, Menasha, WI 54952 Ph: (920) 832-8500

Reviews and Comments

Family Medicine Doctors in Menasha, WI

Nathan C Grunwald, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2005 Midway Rd, Menasha, WI 54952 Phone: 920-832-8500
Suzanne C Bloomhuff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2005 Midway Rd, Menasha, WI 54952 Phone: 920-832-8500
Jeffrey M Bastasic, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 878 W Airport Rd, Menasha, WI 54952 Phone: 920-727-5982
Bryan Roberts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2005 Midway Rd, Menasha, WI 54952 Phone: 920-832-8500 Fax: 920-380-4840
Gunmeet Kaur Kaleka, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2005 Midway Rd, Menasha, WI 54952 Phone: 920-832-8500 Fax: 920-993-2919
John R Barkmeier, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2005 Midway Rd, Menasha, WI 54952 Phone: 920-832-8500
Gary Mark Heifner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 878 Airport Rd, Menasha, WI 54952 Phone: 920-727-5982

Dr Shannon Marie Sullivan, MD - Medicare in Menasha, WI