Tiffany Rene Moos, APRN | |
1423 Main St, Halstead, KS 67056-2048 | |
(316) 371-3797 | |
Not Available |
Full Name | Tiffany Rene Moos |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1423 Main St, Halstead, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427783380 | NPI | - | NPPES |
53-81368-031 | Other | KS | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 53-81368-031 (Kansas) | Primary |
363LA2100X | Nurse Practitioner - Acute Care | 53-81368-031 (Kansas) | Secondary |
Entity Name | M-care Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013421353 PECOS PAC ID: 4880958974 Enrollment ID: O20180425000979 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Rene Moos, APRN 1423 Main St, Halstead, KS 67056-2048 Ph: (316) 371-3797 | Tiffany Rene Moos, APRN 1423 Main St, Halstead, KS 67056-2048 Ph: (316) 371-3797 |
Mrs. Logan Renae Minkevitch, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 126 Main St, Halstead, KS 67056 Phone: 316-835-3700 | |
Amanda J Zogleman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 126 Main St, Halstead, KS 67056 Phone: 316-835-3700 Fax: 316-283-1333 |