Erin Leigh Etheridge-bagley, CNM - Medicare Advanced Practice Midwife in Carbondale, IL

  1. Home
  2. Advanced Practice Midwife
  3. IL
  4. Carbondale
Erin Leigh Etheridge-bagley, CNM is a medicare enrolled "Advanced Practice Midwife" in Carbondale, Illinois. Her current practice location is 900 E Walnut St Ste 10, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 997-5266.

Erin Leigh Etheridge-bagley is licensed to practice in Illinois (license number 209030985) 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 1417340530.

Contact Information

Erin Leigh Etheridge-bagley, CNM
900 E Walnut St Ste 10,
Carbondale, IL 62901-3132
(618) 997-5266
Not Available

Map and Direction




Provider's Profile

Full NameErin Leigh Etheridge-bagley
GenderFemale
SpecialityAdvanced Practice Midwife
Location900 E Walnut St Ste 10, Carbondale, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417340530
  • Provider Enumeration Date: 03/13/2015
  • Last Update Date: 01/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8426488008
  • Enrollment ID: I20200422001999

Medical Identifiers

Medical identifiers for Erin Leigh Etheridge-bagley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417340530NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife CNM2515 (Florida)Secondary
367A00000XAdvanced Practice Midwife 209030985 (Illinois)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. Erin Leigh Etheridge-bagley allows following entities to bill medicare on her behalf.
Entity NameVitalmd Group Holding Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871572032
PECOS PAC ID: 8921091786
Enrollment ID: O20040406001878

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. Erin Leigh Etheridge-bagley 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 AddressPractice Location Address
Erin Leigh Etheridge-bagley, CNM
12291 76th Rd N,
West Palm Beach, FL 33412-2277

Ph: () -		Erin Leigh Etheridge-bagley, CNM
900 E Walnut St Ste 10,
Carbondale, IL 62901-3132

Ph: (618) 997-5266

Reviews and Comments


Advanced Practice Midwife Nurses in Carbondale, IL

Megan Walker,
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 101 S Wall St, Carbondale, IL 62901
Phone: 618-519-9200    
Gayla Joy Wayman, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 202 W Jackson St, Carbondale, IL 62901
Phone: 618-457-0465    Fax: 618-457-8022
Mrs. Elizabeth Anne Jolliff, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 101 S Wall St, Carbondale, IL 62901
Phone: 618-519-9200    Fax: 618-519-9404
Rachael Wernsman, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 101 S Wall St, Carbondale, IL 62901
Phone: 618-519-9200    Fax: 618-519-9961
Mrs. Jennifer Marie Shopinski, APN, CNM, IBCLC
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 202 W Jackson St, Carbondale, IL 62901
Phone: 618-457-0465    Fax: 618-457-8022
Jennifer Ting, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 101 S Wall St, Carbondale, IL 62901
Phone: 618-519-9200    Fax: 618-519-9404

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.