Diane M Mansfield, NP is a
Nurse Practitioner based in Sayner, Wisconsin. Diane M Mansfield is licensed to practice in Wisconsin (license number 1925) and her current practice location is
2801 Loon Ln, Sayner, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 542-4264.
NPI number for Diane M Mansfield is 1023115219 and her current mailing address is 2801 Loon Ln, Sayner, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023115219.
Provider's Profile
| Full Name | Diane M Mansfield |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner |
|---|
| Location | 2801 Loon Ln, Sayner, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023115219
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/25/2013
Medical Identifiers
Medical identifiers for Diane M Mansfield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023115219 | NPI | - | NPPES |
| 43950100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 1925 (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. Diane M Mansfield is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Diane M Mansfield, NP
2801 Loon Ln,
Sayner, WI 54560-9665
Ph: (715) 542-4264 | Diane M Mansfield, NP
2801 Loon Ln,
Sayner, WI 54560-9665
Ph: (715) 542-4264 |
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