| Dr Dezeray Clare Matott, NP | |
|
12961 27th Ave, Chippewa Falls, WI 54729-5699 | |
| (715) 738-3700 | |
| Not Available |
| Full Name | Dr Dezeray Clare Matott |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 12961 27th Ave, Chippewa Falls, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649655952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 6503-33 (Wisconsin) | Primary |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dezeray Clare Matott, NP 12961 27th Ave, Chippewa Falls, WI 54729-5699 Ph: (715) 738-3700 | Dr Dezeray Clare Matott, NP 12961 27th Ave, Chippewa Falls, WI 54729-5699 Ph: (715) 738-3700 |
Halie Marie Ciokiewicz, DNP, APNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12961 27th Ave, Chippewa Falls, WI 54729 Phone: 715-738-3700 | |
Mary Lynn Van Vonderen, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2509 County Highway I, Chippewa Falls, WI 54729 Phone: 920-496-4700 | |
Sharon A. Koenig, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12961 27th Ave, Chippewa Falls, WI 54729 Phone: 715-738-3700 | |
Susan Raquel Eckwright, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2509 County Highway I, Chippewa Falls, WI 54729 Phone: 715-717-4944 | |
Angela Labelle, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2509 County Highway I, Chippewa Falls, WI 54729 Phone: 715-723-9138 | |
Deneen Estelle Berseth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 1st Ave, Chippewa Falls, WI 54729 Phone: 715-838-5222 | |
Tracy Angelique Moe, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 855 Lakeland Dr, Chippewa Falls, WI 54729 Phone: 715-309-4451 |