Jenna Ruth Haeberle, APRN, CNM | |
1032 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 | |
(414) 672-1353 | |
Not Available |
Full Name | Jenna Ruth Haeberle |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1032 S Cesar E Chavez Dr, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033577762 | NPI | - | NPPES |
100204747 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 149030-32 (Wisconsin) | Secondary |
367A00000X | Advanced Practice Midwife | 209.013259 (Illinois) | Primary |
Entity Name | Northwestern Medical Faculty Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | Elmhurst Memorial Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457493454 PECOS PAC ID: 9638168602 Enrollment ID: O20040506001298 |
Mailing Address | Practice Location Address |
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Jenna Ruth Haeberle, APRN, CNM Po Box 778789, Chicago, IL 60677-8789 Ph: (414) 672-1353 | Jenna Ruth Haeberle, APRN, CNM 1032 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 Ph: (414) 672-1353 |
Tracy Blair Wandtke Herrmann, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1032 S Cesar E Chavez Dr, Milwaukee, WI 53204 Phone: 414-672-1353 Fax: 414-672-4265 | |
Camilla Lynn Roe, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1502 S Layton Blvd, Milwaukee, WI 53215 Phone: 414-643-6454 | |
Kathleen Storck, CNM, APNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3727 W Wisconsin Ave, Milwaukee, WI 53208 Phone: 414-291-2626 | |
Anne Katherine Lewandoski, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 945 N 12th St, Women's Health Center, Milwaukee, WI 53233 Phone: 414-219-5797 | |
Susan Joyce Totzke, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1218 W Kilbourn Ave, Suite 200, Milwaukee, WI 53233 Phone: 414-287-1000 Fax: 414-287-1014 | |
Megan Vosswinkel, CNM, APNP Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212 Phone: 414-372-8080 Fax: 414-562-8447 |