Lucas E Moore (NPI# 1477837607, PAC ID# 9436432606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1477837607 |
| PAC ID by PECOS | 9436432606 |
| Professional Enrollment ID | I20170214000355 |
| Full Name | Lucas E Moore |
| Organization Legal Name | JOURNEY MENTAL HEALTH CENTER INC |
| Address |
49 Kessel Ct Madison WI 53711-6275 |
| Phone Number | 6082802700 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 6406844661 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 49 Kessel Ct, Madison, WI 53711-6275 | 6082802700 | JOURNEY MENTAL HEALTH CENTER INC |
| Organization Legal Name | JOURNEY MENTAL HEALTH CENTER INC |
| Physicians | 37 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Vansistine | Clinical Social Worker | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Amanda M Henschel | Clinical Social Worker | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Kellie A Trepton | Nurse Practitioner | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| James J Pearson | Clinical Social Worker | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Michelle R Murray | Clinical Social Worker | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Jantina R Vonk | Psychiatry | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Jane A Woods | Clinical Social Worker | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Shari L Eberhardt | Nurse Practitioner | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Sadat Abiri | Nurse Practitioner | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Kayla A Eggen | Clinical Social Worker | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Street Address |
49 KESSEL CT |
| City | MADISON |
| State | WI |
| Zip | 53711-6275 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Vansistine | Clinical Social Worker | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Amanda M Henschel | Clinical Social Worker | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Kellie A Trepton | Nurse Practitioner | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| James J Pearson | Clinical Social Worker | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Michelle R Murray | Clinical Social Worker | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Jantina R Vonk | Psychiatry | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Jane A Woods | Clinical Social Worker | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Shari L Eberhardt | Nurse Practitioner | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Sadat Abiri | Nurse Practitioner | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Kayla A Eggen | Clinical Social Worker | Journey Mental Health Center Inc | 49 Kessel Ct, Madison, WI 53711-6275 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael G Wirth | Chiropractic | Group Health Cooperative of South Central Wisconsin | 5301 Tokay Blvd, Madison, WI 53711-1027 |
| Paul J Johnson | Orthopedic Surgery | University of Wisconsin System Non Payroll | 621 Science Dr, Madison, WI 53711-1074 |
| Joseph Y Tang | Diagnostic Radiology | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| David T Bernhardt | Pediatric Medicine | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Linda L Eckhardt | Cardiac Electrophysiology | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Richard Kijowski | Diagnostic Radiology | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Jonathan C Makielski | Cardiovascular Disease (cardiology) | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Scott Sheehan | Diagnostic Radiology | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Geoffrey S Baer | Sports Medicine | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Nathaniel Brooks | Neurosurgery | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Find all physicians in zip 53711 | |||
| City | MADISON |
| Zip Code | 53711 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | MADISON + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Lucas E Moore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.