Shelly L Johnsen, MD - Medicare Family Medicine in Manitowoc, WI

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Shelly L Johnsen, MD is a medicare enrolled "Family Medicine" physician in Manitowoc, Wisconsin. Her current practice location is 3509 Dewey St, Manitowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 686-5731.

Shelly L Johnsen is licensed to practice in Wisconsin (license number 45814020) 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 1922016690.

Contact Information

Shelly L Johnsen, MD
3509 Dewey St,
Manitowoc, WI 54220
(920) 686-5731
Not Available

Map and Direction




Physician's Profile

Full NameShelly L Johnsen
GenderFemale
SpecialityFamily Medicine
Location3509 Dewey St, Manitowoc, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922016690
  • Provider Enumeration Date: 08/04/2006
  • Last Update Date: 09/04/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6507956711
  • Enrollment ID: I20100130000180

Medical Identifiers

Medical identifiers for Shelly L Johnsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922016690NPI-NPPES
13487OtherDEAN HEALTH PLAN HMO
1922016690MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 45814020 (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. Shelly L Johnsen allows following entities to bill medicare on her behalf.
Entity NameFroedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699
Entity NameVohra Wound Physicians Of The Mid-west, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720536477
PECOS PAC ID: 9739467309
Enrollment ID: O20161102001017

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. Shelly L Johnsen 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
Shelly L Johnsen, MD
3509 Dewey St,
Manitowoc, WI 54220-5813

Ph: (920) 686-5731		Shelly L Johnsen, MD
3509 Dewey St,
Manitowoc, WI 54220

Ph: (920) 686-5731

Reviews and Comments


Family Medicine Doctors in Manitowoc, WI

Dr. Michael Herbert Hoffman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3415 Custer St, Suite D, Manitowoc, WI 54220
Phone: 920-652-9310    
Bryan J Mulheron, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3509 Dewey St, Manitowoc, WI 54220
Phone: 920-686-5731    
Laurence J Verlinden, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1650 S 41st St, Manitowoc, WI 54220
Phone: 920-320-4500    Fax: 920-682-9378
Patricia J Cantagallo, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 601 Reed Ave, Manitowoc, WI 54220
Phone: 920-682-8841    
Gary A Schmidt, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1650 S 41st St, Manitowoc, WI 54220
Phone: 920-320-4500    Fax: 920-682-9378
Dr. Diane L Staudinger, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3509 Dewey St, Manitowoc, WI 54220
Phone: 920-686-5731    Fax: 920-686-5726
Andrea Jo Poulson-port, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4100 Dewey St, Manitowoc, WI 54220
Phone: 920-686-5700    

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.