Shannelle Susanne Rico, MD - Medicare Family Medicine in Rosebud, SD

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Shannelle Susanne Rico, MD is a medicare enrolled "Family Medicine" physician in Rosebud, South Dakota. Her current practice location is Rosebud Ihs Hospital, Soldier Creek Road, Rosebud, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 747-3245.

Shannelle Susanne Rico is licensed to practice in Indiana (license number 01050363A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023078623.

Contact Information

Shannelle Susanne Rico, MD
Rosebud Ihs Hospital, Soldier Creek Road,
Rosebud, SD 57570-0400
(605) 747-3245
(605) 747-2216

Map and Direction




Physician's Profile

Full NameShannelle Susanne Rico
GenderFemale
SpecialityFamily Medicine
LocationRosebud Ihs Hospital, Rosebud, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023078623
  • Provider Enumeration Date: 03/27/2006
  • Last Update Date: 07/16/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0648231373
  • Enrollment ID: I20071101000703

Medical Identifiers

Medical identifiers for Shannelle Susanne Rico such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023078623NPI-NPPES
000000378568OtherINBLUE CROSS
200381310MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01050363A (Indiana)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. Shannelle Susanne Rico allows following entities to bill medicare on her behalf.
Entity NameUs Health Dept Of Health & Human Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972694602
PECOS PAC ID: 9638081623
Enrollment ID: O20031106000399
Entity NameRosebud Indian Health Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194757369
PECOS PAC ID: 6901704055
Enrollment ID: O20031226000337
Entity NameGreat Plains Tribal Chairmens Health Board
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376105452
PECOS PAC ID: 0648609917
Enrollment ID: O20200408001014

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. Shannelle Susanne Rico 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
Shannelle Susanne Rico, MD
Hwy 77/75, P.o. Box Hh,
Winnebago, NE 68071-0767

Ph: (402) 878-2231		Shannelle Susanne Rico, MD
Rosebud Ihs Hospital, Soldier Creek Road,
Rosebud, SD 57570-0400

Ph: (605) 747-3245

Reviews and Comments


Family Medicine Doctors in Rosebud, SD

Dr. Raquel Jaatoul, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 400 Soldier Creek Road Phs Rosebud, Rosebud, SD 57570
Phone: 605-747-2231    

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.