Connie I Diercks, CNM | |
555 Cedar St, Saint Paul, MN 55101-2209 | |
(651) 266-1255 | |
(651) 266-1350 |
Full Name | Connie I Diercks |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 555 Cedar St, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548221575 | NPI | - | NPPES |
339540500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | CNM0216 (Minnesota) | Primary |
Entity Name | County Of Ramsey |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942369475 PECOS PAC ID: 8224941992 Enrollment ID: O20031110000026 |
Mailing Address | Practice Location Address |
---|---|
Connie I Diercks, CNM 3821 E 26th St, Minneapolis, MN 55406-1857 Ph: (612) 729-3059 | Connie I Diercks, CNM 555 Cedar St, Saint Paul, MN 55101-2209 Ph: (651) 266-1255 |
Mrs. Renee Lynn Clark, DNP, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-602-7500 | |
Ms. Jessica Ranallo, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 952-967-5584 Fax: 651-293-8232 | |
Sara Elizabeth Jennerjohn, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2635 University Ave W Ste 160, Saint Paul, MN 55114 Phone: 651-254-3500 | |
Mary E Skorczeski, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2635 University Ave, Ste 160 Mail Stop 13901b, Saint Paul, MN 55114 Phone: 651-254-3500 Fax: 651-254-3699 | |
Ms. Emily Rumsey, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 895 7th St E, Saint Paul, MN 55106 Phone: 651-602-7500 | |
Tamara Jackman, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-222-1816 Fax: 651-602-7517 | |
Ann Magdalen Bruce, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 651-293-8100 Fax: 651-293-8106 |