Dr Shawn Ann Pflugardt, PSYD - Medicare Psychologist in Rhinelander, WI

Dr Shawn Ann Pflugardt, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Rhinelander, Wisconsin. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Aspirus Rhinelander And Tomahawk Hospitals And Clinics Inc and her current practice location is 1020 Kabel Ave, Rhinelander, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 361-2805.

Dr Shawn Ann Pflugardt is licensed to practice in Wisconsin (license number 2128-057) 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 1346358447.

Contact Information

Dr Shawn Ann Pflugardt, PSYD
1020 Kabel Ave,
Rhinelander, WI 54501-3918
(715) 361-2805
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Shawn Ann Pflugardt
GenderFemale
SpecialityClinical Psychologist
Experience27 Years
Location1020 Kabel Ave, Rhinelander, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shawn Ann Pflugardt graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1346358447
  • Provider Enumeration Date: 08/28/2006
  • Last Update Date: 10/07/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5496702854
  • Enrollment ID: I20050407000316

Medical Identifiers

Medical identifiers for Dr Shawn Ann Pflugardt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346358447NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 2128-057 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St Marys HospitalRhinelander, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aspirus Rhinelander And Tomahawk Hospitals And Clinics Inc9335059856309

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. Dr Shawn Ann Pflugardt allows following entities to bill medicare on her behalf.
Entity NameProhealth Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356322440
PECOS PAC ID: 3476465188
Enrollment ID: O20031103000066
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

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. Dr Shawn Ann Pflugardt 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
Dr Shawn Ann Pflugardt, PSYD
1020 Kabel Ave,
Rhinelander, WI 54501-3918

Ph: (715) 361-2805
Dr Shawn Ann Pflugardt, PSYD
1020 Kabel Ave,
Rhinelander, WI 54501-3918

Ph: (715) 361-2805

Reviews and Comments


Psychologist in Rhinelander, WI

Dr. Jamie Hein, PSYD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 1020 Kabel Ave, Rhinelander, WI 54501
Phone: 715-361-2805    
Demara B Bennett,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2251 N Shore Dr, Rhinelander, WI 54501
Phone: 715-361-2000    Fax: 715-361-2877
Dr. Kayleena Kelly, PSY.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 1020 Kable Ave, Rhinelander, WI 54501
Phone: 715-361-2805    Fax: 715-361-2920
Gina K Koeppl, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 2251 N Shore Dr, Rhinelander, WI 54501
Phone: 715-361-2000    Fax: 715-361-2877
Susan L Stacy,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2251 N Shore Dr, Rhinelander, WI 54501
Phone: 715-361-2000    Fax: 715-361-2877
Michael L Galli, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1831 N Stevens Street, Rhinelander, WI 54501
Phone: 715-365-7000    Fax: 715-365-7029

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.