Shamiah M Dekker, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Waupun, Wisconsin. She went to Rush Medical College Of Rush University and graduated in 2016 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Agnesian Healthcare Inc and her current practice location is
620 W Brown St, Waupun, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 324-5581.
Shamiah M Dekker is licensed to practice in Wisconsin (license number 7440-33) 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 1881139426.
Provider's Profile
| Full Name | Shamiah M Dekker |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 10 Years |
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| Location | 620 W Brown St, Waupun, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shamiah M Dekker attended and graduated from Rush Medical College Of Rush University in 2016
NPI Data:
- NPI Number: 1881139426
- Provider Enumeration Date: 01/05/2017
- Last Update Date: 11/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 1052695996
- Enrollment ID: I20170221002200
Medical Identifiers
Medical identifiers for Shamiah M Dekker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881139426 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 7440-33 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Agnesian Healthcare Inc | 1658289624 | 392 |
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. Shamiah M Dekker allows following entities to bill medicare on her behalf.
| Entity Name | Agnesian Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346228541
PECOS PAC ID: 1658289624
Enrollment ID: O20031104000263 |
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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. Shamiah M Dekker 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 |
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Shamiah M Dekker, CRNA
420 E Division St,
Fond Du Lac, WI 54935-4560
Ph: (920) 926-8340 | Shamiah M Dekker, CRNA
620 W Brown St,
Waupun, WI 53963-1702
Ph: (920) 324-5581 |
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