| Amanda Mosse, | |
|
10649 W Perkinstown Ave, Medford, WI 54451 | |
| (715) 785-7106 | |
| Not Available |
| Full Name | Amanda Mosse |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 10649 W Perkinstown Ave, Medford, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811305360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Enoch Community Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659945343 PECOS PAC ID: 9739584053 Enrollment ID: O20210825002410 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Mosse, 1350 14th Ave, Suite 6, Grafton, WI 53024-1990 Ph: (262) 780-1780 | Amanda Mosse, 10649 W Perkinstown Ave, Medford, WI 54451 Ph: (715) 785-7106 |
Doreen K Eldred, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 143 S Gibson St, Medford, WI 54451 Phone: 715-748-2121 Fax: 715-748-7590 | |
Ms. Linda Israel Murphy, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 143 S Gibson St, Medford, WI 54451 Phone: 715-748-2121 Fax: 715-748-7524 | |
Heidi J Pendleton, MSW LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 103 S Gibson St, Medford, WI 54451 Phone: 715-748-8112 |