Mrs Shannon Lee Plos, NP in Green Bay, WI - Medicare Nurse Practitioner

Mrs Shannon Lee Plos, NP is a medicare enrolled "Nurse Practitioner" in Green Bay, Wisconsin. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Vincent Hospital-hospital Sisters-third Order Of St Francis and her current practice location is 835 S Van Buren St, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 884-5460.

Mrs Shannon Lee Plos is licensed to practice in Wisconsin (license number 6799-33) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477911071.

Contact Information

	Mrs Shannon Lee Plos, NP
	835 S Van Buren St, Green Bay, WI 54301-3526
	(920) 884-5460
	(920) 884-5475

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Lee Plos
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	835 S Van Buren St, Green Bay, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shannon Lee Plos graduated from nursing school in 2015

NPI Data:

NPI Number: 1477911071
Provider Enumeration Date: 02/10/2016
Last Update Date: 04/14/2020

Medicare PECOS Information:

PECOS PAC ID: 1850690132
Enrollment ID: I20160509001879

Medical Identifiers

Medical identifiers for Mrs Shannon Lee Plos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477911071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	143070-30 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	6799-33 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Vincent Hsptl Home Health	Green bay, WI	Home health agency
St Vincent Hospital	Green bay, WI	Hospital
St Mary's Hospital Medical Center	Green bay, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Vincent Hospital-hospital Sisters-third Order Of St Francis	5799694675	562

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 Shannon Lee Plos allows following entities to bill medicare on her behalf.

Entity Name	Prevea Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

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 Shannon Lee Plos 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 Shannon Lee Plos, NP 2793 Lineville Rd, Green Bay, WI 54313-7152 Ph: (920) 496-4700	Mrs Shannon Lee Plos, NP 835 S Van Buren St, Green Bay, WI 54301-3526 Ph: (920) 884-5460

Reviews and Comments

Nurse Practitioner Nurses in Green Bay, WI

Elizabeth Ostoja, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1976 Lime Kiln Rd, Green Bay, WI 54311 Phone: 920-445-7377 Fax: 920-592-9479
Tammy Ann Motquin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-445-7226
Mary C Fox, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3237 Voyager Dr, Green Bay, WI 54311 Phone: 920-468-8288
Mrs. Kristen Kay Lampe, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 720 S Van Buren St, Suite 201, Green Bay, WI 54301 Phone: 920-433-7488
Nicole L Lowe, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7300 Fax: 920-327-7348
Mr. Cristian A Vasiliev, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800
Linda Susan Haen, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2641 Development Drive, Green Bay, WI 54311 Phone: 920-338-6868 Fax: 920-338-6869

Mrs Shannon Lee Plos, NP - Medicare Nurse Practitioner in Green Bay, WI