Mrs Shandell Lee Herrick, FNP-BC in Watertown, WI

Mrs Shandell Lee Herrick, FNP-BC is a medicare enrolled "Registered Nurse" in Watertown, Wisconsin. Her current practice location is 125 Hospital Dr, Watertown, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 325-9309.

Mrs Shandell Lee Herrick is licensed to practice in Wisconsin (license number 246761-30) 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 1003674896.

Contact Information

	Mrs Shandell Lee Herrick, FNP-BC
	125 Hospital Dr, Watertown, WI 53098-3303
	(262) 325-9309
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shandell Lee Herrick
Gender	Female
Speciality	Registered Nurse
Location	125 Hospital Dr, Watertown, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003674896
Provider Enumeration Date: 03/07/2024
Last Update Date: 03/07/2024

Medicare PECOS Information:

PECOS PAC ID: 0446785976
Enrollment ID: I20241121000471

Medical Identifiers

Medical identifiers for Mrs Shandell Lee Herrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003674896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	246761-30 (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. Mrs Shandell Lee Herrick allows following entities to bill medicare on her behalf.

Entity Name	Watertown Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114

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. Mrs Shandell Lee Herrick 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 Address	Practice Location Address
Mrs Shandell Lee Herrick, FNP-BC 500 Mary Knoll Ln, Watertown, WI 53098-1219 Ph: (262) 325-9309	Mrs Shandell Lee Herrick, FNP-BC 125 Hospital Dr, Watertown, WI 53098-3303 Ph: (262) 325-9309

Reviews and Comments

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Mrs Shandell Lee Herrick, FNP-BC - Medicare Registered Nurse in Watertown, WI