Vicki Ann Moceo, PMHNP-BC | |
805 N Dickinson Drive, Rusk, TX 75785 | |
(903) 683-7201 | |
(903) 683-7199 |
Full Name | Vicki Ann Moceo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 805 N Dickinson Drive, Rusk, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376882605 | NPI | - | NPPES |
559374 | Other | TX | LICENSE |
00000238225 | Other | TX | STATE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 559374 (Texas) | Primary |
Entity Name | Vericare Of Texas Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730130873 PECOS PAC ID: 4082512546 Enrollment ID: O20040304001363 |
Mailing Address | Practice Location Address |
---|---|
Vicki Ann Moceo, PMHNP-BC Po Box 488, Jacksonville, TX 75766-0488 Ph: () - | Vicki Ann Moceo, PMHNP-BC 805 N Dickinson Drive, Rusk, TX 75785 Ph: (903) 683-7201 |
Aaron Scott Owens, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 S Main St Unit 555, Rusk, TX 75785 Phone: 903-722-5845 | |
Deanna Adams, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1884 Fm343, Rusk, TX 75785 Phone: 972-740-0402 | |
Lauren Nicole Main, RN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 805 N Dickinson Dr, Rusk, TX 75785 Phone: 903-683-3421 Fax: 903-683-7199 | |
Cassie Jean Thacker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 805 N Dickinson Dr, Rusk, TX 75785 Phone: 903-284-7741 | |
Ma Camille Tabtab, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 S Main St Unit 555, Rusk, TX 75785 Phone: 903-392-9886 | |
Ms. Vashti Jude Forbes, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Highway 69 North And Fm 2971, Rusk, TX 75785 Phone: 512-680-5142 | |
Lisa Kathryn Trawick, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1325 N Dickinson Dr, Rusk, TX 75785 Phone: 903-683-5555 |