Carly A Detterman, CNM in Springfield, MA - Medicare Advanced Practice Midwife

Carly A Detterman, CNM is a medicare enrolled "Advanced Practice Midwife" in Springfield, Massachusetts. Her current practice location is 3300 Main St, Suite 4d, Springfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 794-8336.

Carly A Detterman is licensed to practice in Massachusetts (license number RN256666) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538494802.

Contact Information

	Carly A Detterman, CNM
	3300 Main St, Suite 4d, Springfield, MA 01107-1112
	(413) 794-8336
	(413) 794-7345

Map and Direction

Provider's Profile

Full Name	Carly A Detterman
Gender	Female
Speciality	Advanced Practice Midwife
Location	3300 Main St, Springfield, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538494802
Provider Enumeration Date: 10/05/2009
Last Update Date: 01/18/2019

Medicare PECOS Information:

PECOS PAC ID: 0547300238
Enrollment ID: I20091210000189

Medical Identifiers

Medical identifiers for Carly A Detterman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538494802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	RN256666 (Massachusetts)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carly A Detterman allows following entities to bill medicare on her behalf.

Entity Name	Baystate Medical Practices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carly A Detterman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Carly A Detterman, CNM 280 Chestnut St, 2nd Floor, Springfield, MA 01199-1001 Ph: (413) 794-5700	Carly A Detterman, CNM 3300 Main St, Suite 4d, Springfield, MA 01107-1112 Ph: (413) 794-8336

Reviews and Comments

Advanced Practice Midwife Nurses in Springfield, MA

Katharine A Green, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3300 Main Street, Suite 4d, Springfield, MA 01107 Phone: 413-794-8336 Fax: 413-794-7345
Audrey G Psaltis, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3300 Main St, Suite 4d, Springfield, MA 01107 Phone: 413-794-8336 Fax: 413-794-7345
Barbara W Graves, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3300 Main St, Sutie 4-d, Springfield, MA 01107 Phone: 413-794-8336 Fax: 413-794-7345
Rashea Banks, CNM, WHNP-BC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3300 Main St Ste 4d, Springfield, MA 01107 Phone: 413-794-8336 Fax: 413-794-7345
Michelle F Rappold, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3300 Main St, Springfield, MA 01107 Phone: 413-794-8336 Fax: 413-794-5846
Ms. Emilee Bess Head Lazo, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3300 Main St Ste 4d, Springfield, MA 01107 Phone: 413-794-8336 Fax: 413-794-7345
Mrs. Gail J Kaphan, APRN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1985 Main St, Springfield, MA 01103 Phone: 413-733-6639

Carly A Detterman, CNM - Medicare Advanced Practice Midwife in Springfield, MA