Shannon M Brown (NPI# 1528464898, PAC ID# 1658691522) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1528464898 |
| PAC ID by PECOS | 1658691522 |
| Professional Enrollment ID | I20150515000897 |
| Full Name | Shannon M Brown |
| Organization Legal Name | MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC |
| Address |
331 S Main St Suite H Rice Lake WI 54868-2253 |
| Phone Number | 7152368500 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4385553627 |
| Number of Group Practice Members | 495 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521315 | MAYO CLINIC HEALTH SYSTEM-NORTHLAND |
| 520070 | MAYO CLINIC HEALTH SYSTEM EAU CLAIRE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 331 S Main St, Suite H, Rice Lake, WI 54868-2253 | 7152368500 | MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC |
| Organization Legal Name | MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC |
| Physicians | 472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Jo Day | Nurse Practitioner | Mayo Clinic Health System-northwest Wisconsin Region Inc | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 |
| Hope C St Jean | Nurse Practitioner | Mayo Clinic Health System-northwest Wisconsin Region Inc | 1400 Bellinger St, Eau Claire, WI 54703-5222 |
| Gagandeep Singh | Family Medicine | Mayo Clinic Health System-northwest Wisconsin Region Inc | 13025 8th St, Osseo, WI 54758-7634 |
| Michael R Phillips | Family Medicine | Mayo Clinic Health System-northwest Wisconsin Region Inc | 2321 Stout Rd, Menomonie, WI 54751-7003 |
| Joseph F Drazkowski | Neurology | Mayo Clinic Health System-northwest Wisconsin Region Inc | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 |
| Richard Nagler | Internal Medicine | Mayo Clinic Health System-northwest Wisconsin Region Inc | 1222 E Woodland Ave, Barron, WI 54812-1765 |
| Kristen R Bruxvoort | Family Medicine | Mayo Clinic Health System-northwest Wisconsin Region Inc | 1501 Thompson St, Bloomer, WI 54724-1257 |
| Edgar O Hicks | Orthopedic Surgery | Mayo Clinic Health System-northwest Wisconsin Region Inc | 104 E Dallas St, Dallas, WI 54733-9699 |
| Sandeep K Basu | Hematology/oncology | Mayo Clinic Health System-northwest Wisconsin Region Inc | 1400 Bellinger St, Eau Claire, WI 54703-5222 |
| Jennifer Motto | Physician Assistant | Mayo Clinic Health System-northwest Wisconsin Region Inc | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 |
| Street Address |
331 S MAIN ST SUITE H |
| City | RICE LAKE |
| State | WI |
| Zip | 54868-2253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| C Scott Boagni | Gastroenterology | C Scott Boagni Md Apmc | 331 S Main St, Opelousas, LA 70570-6137 |
| Kristy Lane Boagni | Nurse Practitioner | C Scott Boagni Md Apmc | 331 S Main St, Opelousas, LA 70570-6137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Lefsrud | Diagnostic Radiology | Diagnostic Radiology Associates of Wisconsin Sc | 1024 N Main St, Rice Lake, WI 54868-1236 |
| Brenda K Kibola | Psychiatry | Marshfield Clinic Inc | 1215 W Knapp St, Rice Lake, WI 54868-1307 |
| Kevin Edward Jacobson | Optometry | Northview Eye Associates LLC | 1801 W Knapp St, Suite 3, Rice Lake, WI 54868-1381 |
| Austin L Schipper | Optometry | Northview Eye Associates LLC | 1801 W Knapp St, Suite 3, Rice Lake, WI 54868-1381 |
| Rick C Draeger | Chiropractic | 1801 W Knapp St, Suite 2, Rice Lake, WI 54868-1381 | |
| Michael M Seebruck | Optometry | Northview Eye Associates LLC | 1801 W Knapp St, Suite 3, Rice Lake, WI 54868-1381 |
| Jacob Jon Desantis | Chiropractic | 1801 W Knapp St, Suite 1, Rice Lake, WI 54868-1381 | |
| Thomas Dee Hover | Chiropractic | 1801 W Knapp St, Suite 1, Rice Lake, WI 54868-1381 | |
| Mark D Smith | Physical Therapy | Optimum Therapies, LLC | 1507 W Knapp St, Unit 1, Rice Lake, WI 54868-1384 |
| Kayla C Nielsen | Physical Therapy | Optimum Therapies, LLC | 1507 W Knapp St, Unit 1, Rice Lake, WI 54868-1384 |
| Find all physicians in zip 54868 | |||
| City | RICE LAKE |
| Zip Code | 54868 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RICE LAKE + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.