| Shannon M Brown, MD | |
|
331 S Main St, Rice Lake, WI 54868-2253 | |
| (715) 236-8500 | |
| Not Available |
| Full Name | Shannon M Brown |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 331 S Main St, Rice Lake, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528464898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 63109-20 (Wisconsin) | Primary |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1740239557 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000112 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon M Brown, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (715) 838-5222 | Shannon M Brown, MD 331 S Main St, Rice Lake, WI 54868-2253 Ph: (715) 236-8500 |
William A Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Janice M Mcclelland, Family Medicine Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
David J Henningsen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Dr. Susan J Frazier, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Beverly A. Kimball, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Courtney L Bork, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Lisa A Mink, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 |