| Shawn P Hennigan, MD | |
|
2323 N Casaloma Dr, Appleton, WI 54913-8284 | |
| (920) 730-8833 | |
| Not Available |
| Full Name | Shawn P Hennigan |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 31 Years |
| Location | 2323 N Casaloma Dr, Appleton, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821026790 | NPI | - | NPPES |
| 34380900 | Medicaid | WI | |
| P00011123 | Other | WI | RAILROAD |
| 104507348 | Medicaid | MI | |
| 104641130 | Medicaid | MI | |
| 104788310 | Medicaid | MI | |
| 104705943 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 45657 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Door County Medical Center | Sturgeon bay, WI | Hospital |
| Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
| Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
| St Mary's Hospital Medical Center | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hand To Shoulder Center Of Wisconsin Ltd | 6901884337 | 31 |
| Entity Name | Baycare Clinic Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087 |
| Entity Name | Hand To Shoulder Center Of Wisconsin Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760420277 PECOS PAC ID: 6901884337 Enrollment ID: O20040712000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn P Hennigan, MD 3467 Country Winds Ct, Green Bay, WI 54311-6906 Ph: (920) 639-7751 | Shawn P Hennigan, MD 2323 N Casaloma Dr, Appleton, WI 54913-8284 Ph: (920) 730-8833 |
Thomas G Hoeft, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1531 S Madison St, Appleton, WI 54915 Phone: 920-996-3700 Fax: 920-996-3739 | |
Ryan Lubbe, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2323 N Casaloma Dr, Appleton, WI 54913 Phone: 920-730-8833 | |
Thomas James France, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2323 N Casaloma Dr, Appleton, WI 54913 Phone: 920-730-8833 Fax: 920-738-1974 | |
Karen Fields, PA Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2105 E. Enterprise Dr, Appleton, WI 54913 Phone: 920-731-3111 Fax: 920-738-8789 | |
Eric W Erickson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 820 E Grant St, Appleton, WI 54911 Phone: 920-831-5050 | |
Dr. Etienne A. Mejia, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 277 Altenhofen Dr, Appleton, WI 54913 Phone: 920-993-1643 Fax: 920-993-1645 | |
Dr. David Albert Liebelt, M.D., PH.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 820 E Grant St, Appleton, WI 54911 Phone: 920-831-5050 |