Rebekah Dale Bard-carvalho, FNP | |
3272 E Thompson Ave, Saint Francis, WI 53235-4916 | |
(269) 861-0688 | |
Not Available |
Full Name | Rebekah Dale Bard-carvalho |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 3272 E Thompson Ave, Saint Francis, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821851213 | NPI | - | NPPES |
100279544 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 14890 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Aurora Advanced Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
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Rebekah Dale Bard-carvalho, FNP 3272 E Thompson Ave, Saint Francis, WI 53235-4916 Ph: (269) 861-0688 | Rebekah Dale Bard-carvalho, FNP 3272 E Thompson Ave, Saint Francis, WI 53235-4916 Ph: (269) 861-0688 |
Allyson R Kiriaki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, Saint Francis, WI 53235 Phone: 414-744-6589 |