Judith Laverne Cisneros, is a
Case Manager/care Coordinator based in Moses Lake, Washington. Judith Laverne Cisneros is licensed to practice in Washington (license number RN60696038) and her current practice location is
605 S Coolidge St., Moses Lake, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 765-0674.
NPI number for Judith Laverne Cisneros is 1114404308 and her current mailing address is 605 S Coolidge St., Moses Lake, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114404308.
Provider's Profile
| Full Name | Judith Laverne Cisneros |
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| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 605 S Coolidge St., Moses Lake, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114404308
- Provider Enumeration Date: 07/20/2018
- Last Update Date: 02/10/2020
Medical Identifiers
Medical identifiers for Judith Laverne Cisneros such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114404308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN60696038 (Washington) | Secondary |
| 163W00000X | Registered Nurse | 201507736RN (Oregon) | Secondary |
| 171M00000X | Case Manager/care Coordinator | RN60696038 (Washington) | 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. Judith Laverne Cisneros 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 |
|---|
Judith Laverne Cisneros,
605 S Coolidge St.,
Moses Lake, WA 98837-1893
Ph: (509) 765-0674 | Judith Laverne Cisneros,
605 S Coolidge St.,
Moses Lake, WA 98837-1893
Ph: (509) 765-0674 |
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