Shelby Moose, RD | |
37868 Us Highway 18, Prairie Du Chien, WI 53821-8416 | |
(608) 357-2219 | |
(608) 357-2254 |
Full Name | Shelby Moose |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 37868 Us Highway 18, Prairie Du Chien, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1316335995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 2822 (Wisconsin) | Primary |
Provider Name | Prairie Du Chien Memorial Hospital Association, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619024197 PECOS PAC ID: 4981698537 Enrollment ID: O20040414001308 |
Mailing Address | Practice Location Address |
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Shelby Moose, RD 37868 Us Highway 18, Prairie Du Chien, WI 53821-8416 Ph: (608) 357-2219 | Shelby Moose, RD 37868 Us Highway 18, Prairie Du Chien, WI 53821-8416 Ph: (608) 357-2219 |
Miss Sierra Elizabeth Loncki, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 37868 Us Highway 18, Prairie Du Chien, WI 53821 Phone: 608-357-2219 | |
Mrs. Sandy Z. Goree, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 33788 Bouska Rd, Prairie Du Chien, WI 53821 Phone: 608-326-4815 | |
Claire Bowar, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 36779 Bluffview Ter, Prairie Du Chien, WI 53821 Phone: 608-412-3662 |