Mr Ray Ross Puppe, LPN is a
Licensed Practical Nurse based in Shorewood, Wisconsin. Mr Ray Ross Puppe is licensed to practice in Wisconsin (license number 314422) and his current practice location is
1705 E Marion St, Shorewood, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(414) 687-5500.
NPI number for Mr Ray Ross Puppe is 1205339447 and his current mailing address is 1705 E Marion St, Shorewood, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205339447.
Provider's Profile
| Full Name | Mr Ray Ross Puppe |
|---|
| Gender | Male |
|---|
| Speciality | Licensed Practical Nurse |
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| Location | 1705 E Marion St, Shorewood, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205339447
- Provider Enumeration Date: 03/14/2018
- Last Update Date: 03/14/2018
Medical Identifiers
Medical identifiers for Mr Ray Ross Puppe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205339447 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 314422 (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. Mr Ray Ross Puppe 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 |
|---|
Mr Ray Ross Puppe, LPN
1705 E Marion St,
Shorewood, WI 53211-1522
Ph: (414) 687-5500 | Mr Ray Ross Puppe, LPN
1705 E Marion St,
Shorewood, WI 53211-1522
Ph: (414) 687-5500 |
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