| Amanda Hahn, APN, CNM, PMHNP | |
|
1200 W State St, Rockford, IL 61102-2112 | |
| (815) 490-1600 | |
| (815) 490-1485 |
| Full Name | Amanda Hahn |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1200 W State St, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811244569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209022146 (Illinois) | Secondary |
| 367A00000X | Advanced Practice Midwife | 209009722 (Illinois) | Primary |
| Entity Name | Crusaders Central Clinic Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902972557 PECOS PAC ID: 5799682993 Enrollment ID: O20031216000642 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Hahn, APN, CNM, PMHNP 1200 W State St, Rockford, IL 61102-2112 Ph: (815) 490-1600 | Amanda Hahn, APN, CNM, PMHNP 1200 W State St, Rockford, IL 61102-2112 Ph: (815) 490-1600 |
Mary S Mather, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 5970 Churchview Dr, Rockford, IL 61107 Phone: 815-971-2000 | |
Jennifer Oerkfitz, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1485 | |
Mrs. Renee Lynn Keeney, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1200 W. State Street, Crusader Community Health, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1485 | |
Paula Marin, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Deborah Wodell, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Dana Hoffman, C.N.M. Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1485 | |
Mrs. Heather Moon Piper, R.N., M.S., C.N.M. Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1100 Broadway, Rockford, IL 61104 Phone: 815-490-1600 |