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SHANE J DEGEN M.D. NPI 1336127240


NPI Information

NPI: 1336127240
Provider Name: SHANE J DEGEN, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: BELLIN MEMORIAL HOSPITAL INC

PECOS Registration: Yes

Address:
1630 COMMANCHE AVE
GREEN BAY, WI
ZIP 54313
Phone: (920) 430-4700
Get Directions

Shane J Degen, M.D. is a family medicine in Green Bay, WI with 20 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Shane J Degen, M.D. NPI is 1336127240. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2004

The provider's business location address is:

1630 COMMANCHE AVE
GREEN BAY, WI
ZIP 54313-089
Phone: (920) 430-4700

The NPI 1336127240 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Hemoglobin A1C level (HCPCS:83036)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)

The enumeration date for this NPI number is 1/3/2006 and was last updated on 10/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine47641MINNESOTANo
2207Q00000XFamily Medicine50647 - 020WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1080014432MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
2075100113MEDICARE OSCAR/CERTIFICATIONWISCONSIN
3I40467MEDICARE UPIN
4073100056MEDICARE OSCAR/CERTIFICATIONWISCONSIN
5241127000MEDICAIDMINNESOTA
6073050057MEDICARE OSCAR/CERTIFICATIONWISCONSIN
7071700060MEDICARE OSCAR/CERTIFICATIONWISCONSIN
8002150263MEDICARE OSCAR/CERTIFICATIONWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.