EDWARD SHACKLEFORD, DO
Emergency Medicine Physician · KENOSHA, WI
Individual Active NPI 1790769800
Medicare payment data Part B · 2023
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2023 | 41 | 41 | $26,869 | $4,992 | $3,841 |
| 2022 | 17 | 17 | $9,751 | $1,826 | $1,519 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ✓ | 42953021 | WI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Emergency Medicine Physician providers in Wisconsin
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See all Emergency Medicine Physician providers in Wisconsin →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.