Shannon R Wixom, APRN in Madison, WI - Medicare Nurse Practitioner

Shannon R Wixom, APRN is a medicare enrolled "Nurse Practitioner - Family" in Madison, Wisconsin. Her current practice location is 5801 Research Park Blvd Ste 400, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 729-6344.

Shannon R Wixom is licensed to practice in Wisconsin (license number 9059-33) 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 1699231043.

Contact Information

	Shannon R Wixom, APRN
	5801 Research Park Blvd Ste 400, Madison, WI 53719-6003
	(608) 729-6344
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon R Wixom
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5801 Research Park Blvd Ste 400, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699231043
Provider Enumeration Date: 02/11/2019
Last Update Date: 05/31/2022

Medicare PECOS Information:

PECOS PAC ID: 1951641505
Enrollment ID: I20190319001986

Medical Identifiers

Medical identifiers for Shannon R Wixom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699231043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	151252-30 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	9059-33 (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 R Wixom allows following entities to bill medicare on her behalf.

Entity Name	Madison Womens Health Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174851851 PECOS PAC ID: 4385837954 Enrollment ID: O20101015000561

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 R Wixom 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
Shannon R Wixom, APRN 5801 Research Park Blvd Ste 400, Madison, WI 53719-6003 Ph: (608) 729-6344	Shannon R Wixom, APRN 5801 Research Park Blvd Ste 400, Madison, WI 53719-6003 Ph: (608) 729-6344

Reviews and Comments

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Shannon R Wixom, APRN - Medicare Nurse Practitioner in Madison, WI