Sandra J Packard, NP is a
Nurse Practitioner based in Mondovi, Wisconsin. Sandra J Packard is licensed to practice in Wisconsin (license number 97815) and her current practice location is
700 Buffalo St, Mondovi, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 838-5222.
NPI number for Sandra J Packard is 1922068857 and her current mailing address is Po Box 1510, Eau Claire, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922068857.
Provider's Profile
| Full Name | Sandra J Packard |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 700 Buffalo St, Mondovi, Wisconsin |
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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: 1922068857
- Provider Enumeration Date: 03/24/2006
- Last Update Date: 04/30/2009
Medical Identifiers
Medical identifiers for Sandra J Packard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922068857 | NPI | - | NPPES |
| 43860100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 97815 (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. Sandra J Packard 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 |
|---|
Sandra J Packard, NP
Po Box 1510,
Eau Claire, WI 54702-1510
Ph: (715) 838-5222 | Sandra J Packard, NP
700 Buffalo St,
Mondovi, WI 54755-1371
Ph: (715) 838-5222 |
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