Susan M Moore, APRN | |
1418 S Main St Ste 1, Ottawa, KS 66067-3544 | |
(785) 229-3561 | |
(785) 229-3529 |
Full Name | Susan M Moore |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 1418 S Main St Ste 1, Ottawa, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245348267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 45833 (Kansas) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 45833 (Kansas) | Primary |
Entity Name | County Of Franklin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770586976 PECOS PAC ID: 3779494612 Enrollment ID: O20220928002039 |
Mailing Address | Practice Location Address |
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Susan M Moore, APRN 1418 S Main St Ste 1, Ottawa, KS 66067-3544 Ph: (785) 229-3561 | Susan M Moore, APRN 1418 S Main St Ste 1, Ottawa, KS 66067-3544 Ph: (785) 229-3561 |
Gina Peek, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1418 S Main St Ste 5, Ottawa, KS 66067 Phone: 785-242-1620 | |
Mrs. Jennifer L Miller, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 S Main St, Ottawa, KS 66067 Phone: 913-468-2266 | |
Laura Badjalimbe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 S Main St, Ottawa, KS 66067 Phone: 785-229-8882 Fax: 785-229-8883 | |
Ewa Dubois, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 S Main St, Ottawa, KS 66067 Phone: 913-401-2750 | |
Mrs. Sara Rene Cunningham, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1418 S Main St, Suite 5, Ottawa, KS 66067 Phone: 785-242-1620 Fax: 785-242-3825 | |
Mrs. Gentry Harding, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1428 S Main St, Ottawa, KS 66067 Phone: 785-229-8891 |