Rita M Lease, PMHNP-BC is a
Nurse Practitioner - Psychiatric/mental Health based in Fennimore, Wisconsin. Rita M Lease is licensed to practice in Wisconsin (license number 4062-33) and her current practice location is
770 Lincoln Ave, Suite 2, Fennimore, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 572-3494.
NPI number for Rita M Lease is 1215243852 and her current mailing address is 770 Lincoln Ave, Suite 2, Fennimore, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215243852.
Provider's Profile
Full Name | Rita M Lease |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 770 Lincoln Ave, Fennimore, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215243852
- Provider Enumeration Date: 08/20/2010
- Last Update Date: 10/17/2016
Medical Identifiers
Medical identifiers for Rita M Lease such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215243852 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4062-33 (Wisconsin) | 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. Rita M Lease 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 |
Rita M Lease, PMHNP-BC 770 Lincoln Ave, Suite 2, Fennimore, WI 53809-1562 Ph: (608) 572-3494 | Rita M Lease, PMHNP-BC 770 Lincoln Ave, Suite 2, Fennimore, WI 53809-1562 Ph: (608) 572-3494 |
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