| Luna Mental Health Pllc | |
|
1200 Valley West Dr Ste 503 West Des Moines IA 50266-1906 | |
| (515) 468-3639 | |
| Not Available |
| Full Name | Luna Mental Health Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1200 Valley West Dr Ste 503, West Des Moines, Iowa |
| Authorized Official Name and Position | Kerri Leigh Patton (ARNP) |
| Authorized Official Contact | 5154683639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luna Mental Health Pllc 3086 Cottonwood Dr Waukee IA 50263-8021 Ph: (515) 468-3639 | Luna Mental Health Pllc 1200 Valley West Dr Ste 503 West Des Moines IA 50266-1906 Ph: (515) 468-3639 |
| NPI Number | 1144903097 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 08/11/2023 |
| Certification Date | 08/11/2023 |
| Medicare PECOS PAC ID | 2769837335 |
|---|---|
| Medicare Enrollment ID | O20231017002522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144903097 | NPI | - | NPPES |
| Provider Name | Kerri L Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457303653 PECOS PAC ID: 2567526023 Enrollment ID: I20120502000648 |
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