Shannon K Carmona Moses, NP | |
4855 S Moorland Rd Fl 3, New Berlin, WI 53151-7494 | |
(262) 432-7599 | |
(262) 432-7694 |
Full Name | Shannon K Carmona Moses |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 4855 S Moorland Rd Fl 3, New Berlin, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932485489 | NPI | - | NPPES |
1932485489 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 4680-33 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 4680-033 (Wisconsin) | Primary |
Entity Name | Aurora Health Care Metro Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861447179 PECOS PAC ID: 8628986536 Enrollment ID: O20040114000498 |
Mailing Address | Practice Location Address |
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Shannon K Carmona Moses, NP 9000 W Wisconsin Ave # Ms 958, Milwaukee, WI 53226-4874 Ph: (414) 266-7615 | Shannon K Carmona Moses, NP 4855 S Moorland Rd Fl 3, New Berlin, WI 53151-7494 Ph: (262) 432-7599 |
Mrs. Jennifer Hidalgo Hruz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2355 S Krahn Rd, New Berlin, WI 53151 Phone: 414-248-3394 | |
Mr. Dennis J Garvin, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12901 W National Ave, New Berlin, WI 53151 Phone: 262-787-5200 | |
Katherine Ciminelli Waller, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4855 S Moorland Rd Fl 3, New Berlin, WI 53151 Phone: 262-432-7599 Fax: 262-432-7694 | |
Michelle L Martin, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14555 W National Ave, New Berlin, WI 53151 Phone: 262-827-2955 | |
Ms. Julie Ann Averbeck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, Suite 150, New Berlin, WI 53151 Phone: 414-425-5660 Fax: 414-425-9803 | |
Kyla Phu, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14555 W National Ave, New Berlin, WI 53151 Phone: 844-284-0381 | |
Mrs. Margaret R Salinas, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14555 W National Ave, New Berlin, WI 53151 Phone: 262-827-2955 |