Shannon Marie Vondra, MD - Medicare Pediatrics in Oak Creek, WI

Shannon Marie Vondra, MD is a medicare enrolled "Pediatrics" physician in Oak Creek, Wisconsin. Her current practice location is 8375 S Howell Ave, Oak Creek, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 764-5726.

Shannon Marie Vondra is licensed to practice in Wisconsin (license number 76533-20) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720616311.

Contact Information

Shannon Marie Vondra, MD
8375 S Howell Ave,
Oak Creek, WI 53154-8344
(414) 764-5726
(414) 764-6954



Physician's Profile

Full NameShannon Marie Vondra
GenderFemale
SpecialityPediatrics
Location8375 S Howell Ave, Oak Creek, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720616311
  • Provider Enumeration Date: 03/30/2020
  • Last Update Date: 11/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0648659300
  • Enrollment ID: I20220627001527

Medical Identifiers

Medical identifiers for Shannon Marie Vondra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720616311NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 76533-20 (Wisconsin)Primary

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. Shannon Marie Vondra 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 AddressPractice Location Address
Shannon Marie Vondra, MD
8375 S Howell Ave,
Oak Creek, WI 53154-8344

Ph: (414) 764-5726
Shannon Marie Vondra, MD
8375 S Howell Ave,
Oak Creek, WI 53154-8344

Ph: (414) 764-5726

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› Verified 7 days ago


Pediatrics Doctors in Oak Creek, WI

Gregg E Tetting, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 331 E. Puetz Rd, Ste 104, Oak Creek, WI 53154
Phone: 414-570-3590    Fax: 414-570-3599
Mallory Hannah Salentine, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8375 S Howell Ave, Oak Creek, WI 53154
Phone: 414-764-5726    Fax: 414-764-6954
Angela M Bier, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8375 S Howell Ave, Oak Creek, WI 53154
Phone: 414-764-5726    Fax: 414-164-6954
Dr. Neelofar Nabi, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 331 E Puetz Rd, Oak Creek, WI 53154
Phone: 414-389-2131    
Mr. David S. Ogren, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8375 S Howell Ave, Oak Creek, WI 53154
Phone: 414-764-5726    Fax: 414-764-5726
Smriti S Khare, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8661 S Howell Ave, Oak Creek, WI 53154
Phone: 414-764-5726    Fax: 414-764-6954
Randall Lee Fiete, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 980 E Twin Oaks Dr, Oak Creek, WI 53154
Phone: 414-571-9680    

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