Shannon I Pham, NP - Medicare Nurse Practitioner in Appleton, WI

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Shannon I Pham, NP is a medicare enrolled "Nurse Practitioner - Family" in Appleton, Wisconsin. Her current practice location is 1506 S Oneida St, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 738-2000.

Shannon I Pham is licensed to practice in Wisconsin (license number F06201040) 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 1295321370.

Contact Information

Shannon I Pham, NP
1506 S Oneida St,
Appleton, WI 54915-1305
(920) 738-2000
Not Available

Map and Direction




Provider's Profile

Full NameShannon I Pham
GenderFemale
SpecialityNurse Practitioner - Family
Location1506 S Oneida St, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295321370
  • Provider Enumeration Date: 12/14/2020
  • Last Update Date: 10/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9638585458
  • Enrollment ID: I20210302003045

Medical Identifiers

Medical identifiers for Shannon I Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295321370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F06201040 (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. Shannon I Pham allows following entities to bill medicare on her behalf.
Entity NameThedacare Medical Center - Shawano, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117
Entity NameAspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144991340
PECOS PAC ID: 9335059856
Enrollment ID: O20031126000706
Entity NameAspirus Medford Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285703173
PECOS PAC ID: 5799688602
Enrollment ID: O20040129000007
Entity NameLanglade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831251040
PECOS PAC ID: 1557271202
Enrollment ID: O20040212000310
Entity NameEmergency Medicine Specialists SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568413524
PECOS PAC ID: 8729975461
Enrollment ID: O20040228000032
Entity NameThedacare Medical Center - Waupaca, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780782680
PECOS PAC ID: 3072504216
Enrollment ID: O20040524000645
Entity NameAscension Calumet Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376541748
PECOS PAC ID: 7416948427
Enrollment ID: O20040809000191
Entity NameAspirus Stevens Point Hospital & Clinics, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538112230
PECOS PAC ID: 1850358938
Enrollment ID: O20041210000558
Entity NameThedacare Medical Center - Wild Rose, Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1043263999
PECOS PAC ID: 6507840923
Enrollment ID: O20070305000280
Entity NameThedacare Medical Center - Shawano, Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20070524000076
Entity NameAspirus Medford Hospital & Clinics Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1619079597
PECOS PAC ID: 5799688602
Enrollment ID: O20071211000401
Entity NameLanglade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1639187412
PECOS PAC ID: 1557271202
Enrollment ID: O20110126000993
Entity NameThedacare Medical Center - Waupaca, Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1710333893
PECOS PAC ID: 3072504216
Enrollment ID: O20150918000809

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 I Pham 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 AddressPractice Location Address
Shannon I Pham, NP
3 Neenah Ctr,
Neenah, WI 54956-3070

Ph: (920) 830-5900		Shannon I Pham, NP
1506 S Oneida St,
Appleton, WI 54915-1305

Ph: (920) 738-2000

Reviews and Comments


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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.