| Shannon Johnson, | |
|
111 E Washington St, West Bend, WI 53095-2571 | |
| (262) 338-2717 | |
| Not Available |
| Full Name | Shannon Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 111 E Washington St, West Bend, Wisconsin |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184568123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 18294-33 (Wisconsin) | Primary |
| Entity Name | Affiliated Clinical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851473698 PECOS PAC ID: 0244124899 Enrollment ID: O20040212000835 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Johnson, 5761 N River Forest Dr, Glendale, WI 53209-4521 Ph: Not Available | Shannon Johnson, 111 E Washington St, West Bend, WI 53095-2571 Ph: (262) 338-2717 |
Tammy L Schladweiler, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Gateway Ct, West Bend, WI 53095 Phone: 262-335-8600 |
Kaitlyn Solveson, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-334-5533 Fax: 262-836-7301 |
Ryan Douglas Langer, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 |
Alyssa Sekadlo, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717 Fax: 262-338-9767 |
Jennifer Nicole Thomson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 |
Dr. Shanice S Kukuck, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 |
Monica Katherine Binder, DNP, APNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 |