Shane J Degen (NPI# 1336127240, PAC ID# 4688608672) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1336127240 |
| PAC ID by PECOS | 4688608672 |
| Professional Enrollment ID | I20070827000678 |
| Full Name | Shane J Degen |
| Organization Legal Name | BELLIN MEMORIAL HOSPITAL INC |
| Address |
704 S Webster Ave Suite 200 Green Bay WI 54301-3531 |
| Phone Number | 9204333456 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8820900749 |
| Number of Group Practice Members | 410 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520049 | BELLIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 704 S Webster Ave, Suite 200, Green Bay, WI 54301-3531 | 9204333456 | BELLIN MEMORIAL HOSPITAL INC |
| Organization Legal Name | BELLIN MEMORIAL HOSPITAL INC |
| Physicians | 355 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl L Bailey | Obstetrics/gynecology | Bellin Memorial Hospital Inc | 720 S Van Buren St, Suite 101, Green Bay, WI 54301-3534 |
| Kathryn A Engelhardt | Qualified Audiologist | Bellin Memorial Hospital Inc | 923 Eliza St, Green Bay, WI 54301-3234 |
| Cassandra M Motkowski | Nurse Practitioner | Bellin Memorial Hospital Inc | 107 E Highland Dr, Oconto Falls, WI 54154-1002 |
| Megan A Cassai | Nurse Practitioner | Bellin Memorial Hospital Inc | 3200 Shore Dr, Marinette, WI 54143-4202 |
| Alex N Smithback | Physical Therapy | Bellin Memorial Hospital Inc | 140 B School Creek Trl, Luxemburg, WI 54217-1095 |
| Kelly J Klika | Physical Therapy | Bellin Memorial Hospital Inc | 1800 Lawrence Dr, De Pere, WI 54115-9108 |
| Jacob R Birdsall | Physical Therapy | Bellin Memorial Hospital Inc | 511 N 3rd St, Sturgeon Bay, WI 54235-2323 |
| Michael K Schumacher | Physical Therapy | Bellin Memorial Hospital Inc | 2714 Riverview Dr, Green Bay, WI 54313-6715 |
| Kayla Lynn Konen | Physical Therapy | Bellin Memorial Hospital Inc | 831 Parker Ave, Algoma, WI 54201-1808 |
| Daniel Brian Johnson | Nurse Practitioner | Bellin Memorial Hospital Inc | 440 Woodward Ave, Bellin Health, Iron Mountain, MI 49801-4631 |
| Street Address |
704 S WEBSTER AVE SUITE 200 |
| City | GREEN BAY |
| State | WI |
| Zip | 54301-3531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy A Motquin | Nurse Practitioner | Bellin Memorial Hospital Inc | 704 S Webster Ave, Green Bay, WI 54301-3533 |
| Aaron Lee White | Physical Therapy | Bellin Memorial Hospital Inc | 704 S Webster Ave, Suite 201, Green Bay, WI 54301-3528 |
| Lee Andrew Hyrkas | Registered Dietitian Or Nutrition Professional | Bellin Memorial Hospital Inc | 704 S Webster Ave, Suite 200, Green Bay, WI 54301-3531 |
| James Lee | Plastic and Reconstructive Surgery | Green Bay Plastic Surgical Assoc | 704 S Webster Ave, Green Bay, WI 54301-3528 |
| Susan M Molenaar | Nurse Practitioner | Bellin Memorial Hospital Inc | 704 S Webster Ave, Suite 201, Green Bay, WI 54301-3528 |
| Paul D Hartleben | Orthopedic Surgery | Bellin Memorial Hospital Inc | 704 S Webster Ave, Suite 1b, Green Bay, WI 54301-3528 |
| Arjang Djamali | Nephrology | University of Wisconsin Medical Foundation Inc | 704 S Webster Ave, Suite 1b, Green Bay, WI 54301-3528 |
| Barry T Daughtry | Family Medicine | Bellin Memorial Hospital Inc | 704 S Webster Ave, Green Bay, WI 54301-3533 |
| Mary K Jazayeri | Nurse Practitioner | Bellin Memorial Hospital Inc | 704 S Webster Ave, Suite 110, Green Bay, WI 54301-3528 |
| Amber B Carriveau | Nurse Practitioner | Bellin Memorial Hospital Inc | 704 S Webster Ave, Suite 110, Green Bay, WI 54301-3528 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy O Trupke | Physical Therapy | Andrews Physical Therapy Sc | 3208 E River Dr, Green Bay, WI 54301-1410 |
| Eliza M Andrews | Physical Therapy | Andrews Physical Therapy Sc | 3208 E River Dr, Green Bay, WI 54301-1410 |
| Tina Marie Baeten | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Daniel D Lyons | Chiropractic | 2920 S Webster Ave, Suite 100, Green Bay, WI 54301-1594 | |
| Valorie A Helander | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Jennifer A Sovey Fahey | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Kayla Marie Franzluebbers | Chiropractic | Lyons Health, LLC | 2920 S Webster Ave, Green Bay, WI 54301-1594 |
| Ann Meier Carli | Optometry | Advanced Eyecare Center | 3237 Riverside Dr, Suite A, Green Bay, WI 54301-1643 |
| Glenn D Carli | Optometry | Advanced Eyecare Center | 3237 Riverside Dr, Suite A, Green Bay, WI 54301-1643 |
| Steven L Kagen | Allergy/immunology | 2333 Riverside Dr, Green Bay, WI 54301-1945 | |
| Find all physicians in zip 54301 | |||
| City | GREEN BAY |
| Zip Code | 54301 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GREEN BAY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shane J Degen.
| 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.