Dr Shelly Lynn Komondoros, PHD in Oshkosh, WI - Medicare Clinical Psychologist Provider

Dr Shelly Lynn Komondoros, PHD is a medicare enrolled "Psychologist - Clinical" provider in Oshkosh, Wisconsin. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Meriter Hospital Inc and her current practice location is 1855 S Koeller St, Oshkosh, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 223-7350.

Dr Shelly Lynn Komondoros is licensed to practice in Wisconsin (license number 3138-57) 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 1073800777.

Contact Information

	Dr Shelly Lynn Komondoros, PHD
	1855 S Koeller St, Oshkosh, WI 54902-6214
	(920) 223-7350
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shelly Lynn Komondoros
Gender	Female
Speciality	Clinical Psychologist
Experience	12 Years
Location	1855 S Koeller St, Oshkosh, Wisconsin
Accepts Medicare Assignments	Yes. 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 Shelly Lynn Komondoros graduated from medical school in 2012

NPI Data:

NPI Number: 1073800777
Provider Enumeration Date: 07/01/2011
Last Update Date: 11/15/2013

Medicare PECOS Information:

PECOS PAC ID: 9830326180
Enrollment ID: I20131212001686

Medical Identifiers

Medical identifiers for Dr Shelly Lynn Komondoros such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073800777	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3138-57 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Meriter Hospital	Madison, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Meriter Hospital Inc	3971412735	121

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 Shelly Lynn Komondoros allows following entities to bill medicare on her behalf.

Entity Name	Meriter Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548280225 PECOS PAC ID: 3971412735 Enrollment ID: O20031126000346

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 Shelly Lynn Komondoros 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
Dr Shelly Lynn Komondoros, PHD 1855 S Koeller St, Oshkosh, WI 54902-6214 Ph: (920) 223-7350	Dr Shelly Lynn Komondoros, PHD 1855 S Koeller St, Oshkosh, WI 54902-6214 Ph: (920) 223-7350

Reviews and Comments

Psychologist in Oshkosh, WI

Gary Ankarlo, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 414 Doctors Ct, Oshkosh, WI 54901 Phone: 920-456-2030 Fax: 920-456-2025
Dr. Lori Marie Pierquet, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 375 C Executive Suites, City Center, Oshkosh, WI 54901 Phone: 920-216-3746 Fax: 920-235-5028
Douglas Clyde Brey, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 Washington Ave, Oshkosh, WI 54901 Phone: 920-236-4700 Fax: 920-236-1157
Dr. Julie Marie Grieves, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1119 E Parkway Ave, Oshkosh, WI 54901 Phone: 701-740-1552
Dr. Louis William Topel, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 Washington Ave., Oshkosh, WI 54901 Phone: 920-236-4700 Fax: 715-732-7711
Michael Daehn Iv, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 Washington Ave, Oshkosh, WI 54901 Phone: 920-236-4600

Dr Shelly Lynn Komondoros, PHD - Medicare Psychologist in Oshkosh, WI