Sheirlie Ann Lamantia, MD
Individual provider Active NPI Family Medicine Physician · Lancaster, WI
NPI 1669676771 · NPPES record last updated Jan 25, 2023
Key facts
- NPI
- 1669676771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 53637-20 (WI)
- Practice address
- 507 S Monroe St
Lancaster, WI 53813-2054 - Phone
- (608) 723-2143
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Owned or controlled facilities with NPI records 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| County of Grant |
Hospice | Contracted Managing Employee | Sep 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100311000133 | WI | Practitioner - Family Practice | 0042379216 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11013394A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant Regional Health Center, Inc | Family Medicine | Current |
Accepting new patients |
| Grant Regional Health Center, Inc | Family Medicine | Current |
Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Grant Regional Health Center, Inc. | Current |
Accepting new patients | |
| Memorial Hospital of Boscobel | Current |
Accepting new patients | |
| Memorial Hospital of Boscobel | Current |
Accepting new patients | |
| Dean Health Systems, Inc, | Past | Accepting new patients | |
| Emergency Physicians of Delaware County, P.C. | Past | Accepting new patients |
Locations
205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112
507 S Monroe St
Lancaster, WI 53813
Phone (608) 723-2131
Interoperability endpoints
- slamantia438761@direct.emplifyhealth.org
- slamantia847535@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11013394A | IN | |
| Family Medicine Physician | 207Q00000X | 53637-20 | WI | Yes |
Addresses
Primary practice location
507 S Monroe St
Lancaster, WI 53813-2054
Mailing address
507 S Monroe St
Lancaster, WI 53813-2054
Phone (608) 723-2143
Other practice location 1
205 Parker St
Boscobel, WI 53805-1642
Phone (608) 375-4112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60969 | Other | WI | DEAN HEALTH INSURANCE |
Other providers in Lancaster, WI
- Christine M Kelly
- Deven Kelly
- Gretchen Lynn Konrardy
- Brandon Krantz
- Kasey Marie Kurth
- Lancaster Care Center LLC
- Lancaster Chiropractic, LLC
- Lancaster Community School District
- Lancaster Dental Associates
- Lancaster EMS, Inc.
All providers in Lancaster, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.