Donna R Walters, CNM | |
3408 Office Park Dr, Marion, IL 62959-6477 | |
(618) 997-5266 | |
(618) 997-5285 |
Full Name | Donna R Walters |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 3408 Office Park Dr, Marion, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053665711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 209009739 (Illinois) | Secondary |
367A00000X | Advanced Practice Midwife | 209017028 (Illinois) | Primary |
Entity Name | Heartland Women's Healthcare Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851307532 PECOS PAC ID: 1759270648 Enrollment ID: O20040310001225 |
Mailing Address | Practice Location Address |
---|---|
Donna R Walters, CNM 3408 Office Park Drive, Marion, IL 62959-6477 Ph: (618) 997-5266 | Donna R Walters, CNM 3408 Office Park Dr, Marion, IL 62959-6477 Ph: (618) 997-5266 |
Krystle Rush, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3408 Office Park Dr, Marion, IL 62959 Phone: 844-872-6249 | |
Marion Reyes, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3408 Office Park Dr, Marion, IL 62959 Phone: 618-997-5266 Fax: 618-997-5285 | |
Pamela Jellen, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3408 Office Park Dr, Marion, IL 62959 Phone: 618-997-5266 Fax: 618-997-5285 |