P Michael Shattuck, MD - Medicare Emergency Medicine in Berlin, WI

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P Michael Shattuck, MD is a medicare enrolled "Emergency Medicine" physician in Berlin, Wisconsin. His current practice location is 225 Memorial Dr, Berlin, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 361-5538.

P Michael Shattuck is licensed to practice in Wisconsin (license number 25430) 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 1740273630.

Contact Information

P Michael Shattuck, MD
225 Memorial Dr,
Berlin, WI 54923-1243
(920) 361-5538
(920) 361-5499

Map and Direction




Physician's Profile

Full NameP Michael Shattuck
GenderMale
SpecialityEmergency Medicine
Location225 Memorial Dr, Berlin, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740273630
  • Provider Enumeration Date: 08/25/2005
  • Last Update Date: 07/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9638167141
  • Enrollment ID: I20040504000545

Medical Identifiers

Medical identifiers for P Michael Shattuck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740273630NPI-NPPES
30668600MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25430-020 (Wisconsin)Secondary
208600000XSurgery 25430-020 (Wisconsin)Secondary
207P00000XEmergency Medicine 25430 (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. P Michael Shattuck allows following entities to bill medicare on his 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 - Berlin, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760413777
PECOS PAC ID: 0446151666
Enrollment ID: O20040120000214

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. P Michael 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 AddressPractice Location Address
P Michael Shattuck, MD
225 Memorial Dr,
Berlin, WI 54923-1243

Ph: (920) 361-1313		P Michael Shattuck, MD
225 Memorial Dr,
Berlin, WI 54923-1243

Ph: (920) 361-5538

Reviews and Comments


Emergency Medicine Doctors in Berlin, WI

Mary Swieskowski Cummins, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 225 Memorial Dr, Berlin, WI 54923
Phone: 920-361-1313    
Erin K Eferem, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 225 Memorial Dr, Berlin, WI 54923
Phone: 920-361-5525    
Kenneth Sullivan, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 225 Memorial Dr, Berlin, WI 54923
Phone: 920-361-5525    

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.