Seth Patrick Moore, APNP, NP-C, FNP-BC | |
139 E 2nd St Ste U, Kaukauna, WI 54130-2420 | |
(920) 796-9831 | |
Not Available |
Full Name | Seth Patrick Moore |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 139 E 2nd St Ste U, Kaukauna, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1780982397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | 4363-33 (Wisconsin) | Primary |
Entity Name | Oneida Nation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740278308 PECOS PAC ID: 6800794074 Enrollment ID: O20031224000077 |
Mailing Address | Practice Location Address |
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Seth Patrick Moore, APNP, NP-C, FNP-BC 790 N Milwaukee St Ste 302 Pmb 693436, Milwaukee, WI 53202-4073 Ph: (920) 819-3094 | Seth Patrick Moore, APNP, NP-C, FNP-BC 139 E 2nd St Ste U, Kaukauna, WI 54130-2420 Ph: (920) 796-9831 |
Jennifer Lea Baumgart, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 | |
Ms. Lori Deprez King, RN, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 | |
Jamie Leigh Dewitt, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2601 Fieldcrest Dr, Kaukauna, WI 54130 Phone: 920-426-6100 Fax: 920-426-6109 |