Kari Sheldon, MD - Medicare Family Practice in Black Creek, WI

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Kari Sheldon, MD is a medicare enrolled "Family Medicine" physician in Black Creek, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 1996 and has 30 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Thedacare Incorporated and her current practice location is 400 S Maple St, Black Creek, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 984-3361.

Kari Sheldon is licensed to practice in Wisconsin (license number 39110) 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 1891722435.

Contact Information

Kari Sheldon, MD
400 S Maple St,
Black Creek, WI 54106-9787
(920) 984-3361
Not Available

Map and Direction




Physician's Profile

Full NameKari Sheldon
GenderFemale
SpecialityFamily Practice
Experience30 Years
Location400 S Maple St, Black Creek, 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:
  • Kari Sheldon attended and graduated from University Of Wisconsin School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1891722435
  • Provider Enumeration Date: 06/27/2006
  • Last Update Date: 11/10/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3870662133
  • Enrollment ID: I20080513000556

Medical Identifiers

Medical identifiers for Kari Sheldon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891722435NPI-NPPES
32606000MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 39110 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare Regional Med Ctr - NeenahNeenah, WIHospital
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital
Thedacare Medical Center - ShawanoShawano, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thedacare Incorporated1759294887533

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. Kari Sheldon allows following entities to bill medicare on her behalf.
Entity NameThedacare Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088
Entity NameThedacare Medical Center - Shawano, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117
Entity NameThedacare Medical Center - Berlin, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760413777
PECOS PAC ID: 0446151666
Enrollment ID: O20040120000214
Entity NameThedacare Regional Medical Center - Appleton, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902832306
PECOS PAC ID: 2163319039
Enrollment ID: O20040304000064
Entity NameThedacare Regional Medical Center-neenah Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518993880
PECOS PAC ID: 8921090846
Enrollment ID: O20040401000148

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. Kari Sheldon 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
Kari Sheldon, MD
Po Box 8003,
Appleton, WI 54912-8003

Ph: (920) 996-3298		Kari Sheldon, MD
400 S Maple St,
Black Creek, WI 54106-9787

Ph: (920) 984-3361

Reviews and Comments


Family Medicine Doctors in Black Creek, WI

Michael Faudree, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 400 S Maple St, Black Creek, WI 54106
Phone: 920-984-3361    Fax: 920-984-4092

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.