| Cassandra Moore, CNP | |
|
1051 West Ave, Rice Lake, WI 54868-4425 | |
| (715) 719-0662 | |
| Not Available |
| Full Name | Cassandra Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1051 West Ave, Rice Lake, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679709117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 89488 (Wisconsin) | Primary |
| Entity Name | Prevea Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassandra Moore, CNP 1051 West Ave, Rice Lake, WI 54868-4425 Ph: (715) 822-2231 | Cassandra Moore, CNP 1051 West Ave, Rice Lake, WI 54868-4425 Ph: (715) 719-0662 |
Kelly J Olson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Danielle Ranee Soltis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-234-1515 | |
Carol Matthys, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 Cenex Dr, Suite J, Rice Lake, WI 54868 Phone: 715-234-7246 | |
Sandra J. Polzin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1215 W Knapp St, Rice Lake, WI 54868 Phone: 715-236-4450 | |
Jamie Gohde, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 S Wisconsin Ave, Rice Lake, WI 54868 Phone: 715-817-6809 | |
Roberta L Herrick, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Amaris Vesely, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-234-1515 |