Grace Evelyn Collupy, CNM | |
719 Rodel Cv, Lake Mary, FL 32746-5716 | |
(407) 262-5710 | |
Not Available |
Full Name | Grace Evelyn Collupy |
---|---|
Gender | Female |
Speciality | Certified Nurse Midwife (cnm) |
Experience | 24 Years |
Location | 719 Rodel Cv, Lake Mary, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417140344 | NPI | - | NPPES |
308599600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 9244471 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent's Ambulatory Care Inc | 2860411188 | 275 |
Entity Name | St Vincent's Ambulatory Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
Mailing Address | Practice Location Address |
---|---|
Grace Evelyn Collupy, CNM 719 Rodel Cv, Lake Mary, FL 32746-5716 Ph: (407) 262-5710 | Grace Evelyn Collupy, CNM 719 Rodel Cv, Lake Mary, FL 32746-5716 Ph: (407) 262-5710 |
Deborah A. Brown, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 719 Rodel Cv, Suite 1015, Lake Mary, FL 32746 Phone: 407-302-3133 Fax: 407-330-4690 | |
Ms. Susan Phillips Vaughen, ARNP CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 785 Primera Blvd, Suite 1031, Lake Mary, FL 32746 Phone: 407-834-8111 Fax: 407-708-1958 | |
Ms. Donna Harvel Balo, ARNP, CNM, MS Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 785 Primera Blvd, #1031, Lake Mary, FL 32746 Phone: 407-834-8111 | |
Ms. Kristen Renee Ward, C.N.M. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 719 Rodel Cv, Lake Mary, FL 32746 Phone: 407-302-3133 Fax: 407-330-4690 | |
Allison Rene King, CNM, MSN, ARNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 785 Primera Blvd Ste 1031, Lake Mary, FL 32746 Phone: 407-834-8111 | |
Ms. Luanne E Tangedal, CNM, MS Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 725 Rodel Cv, Lake Mary, FL 32746 Phone: 407-302-3133 Fax: 407-330-4690 |