Shannon N Sandstrom, NP - Nurse Practitioner in Randolph, WI

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Shannon N Sandstrom, NP is a Nurse Practitioner - Adult Health based in Randolph, Wisconsin. Shannon N Sandstrom is licensed to practice in Wisconsin (license number 2722) and her current practice location is 137 Cambria St, Randolph, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 326-5303.

NPI number for Shannon N Sandstrom is 1194778324 and her current mailing address is 420 E Division St, Fond Du Lac, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194778324.

Contact Information

Shannon N Sandstrom, NP
137 Cambria St,
Randolph, WI 53956
(920) 326-5303
Not Available

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Provider's Profile

Full NameShannon N Sandstrom
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location137 Cambria St, Randolph, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194778324
  • Provider Enumeration Date: 05/18/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Shannon N Sandstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194778324NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 2722 (Wisconsin)Primary

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. Shannon N Sandstrom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon N Sandstrom, NP
420 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-8340		Shannon N Sandstrom, NP
137 Cambria St,
Randolph, WI 53956

Ph: (920) 326-5303

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Nurse Practitioner Nurses in Randolph, WI

Teresa J Wiersma, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 504 S High St, Randolph, WI 53956
Phone: 920-326-5060    

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.