Jennifer Baumstark, CNM | |
280 Home Olu Place, Kaunakakai, HI 96748 | |
(808) 553-3145 | |
Not Available |
Full Name | Jennifer Baumstark |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 280 Home Olu Place, Kaunakakai, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033290911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 209004253 (Illinois) | Secondary |
367A00000X | Advanced Practice Midwife | APRN-1458 (Hawaii) | Primary |
Entity Name | Community Clinic Of Maui, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528042561 PECOS PAC ID: 2466365440 Enrollment ID: O20040219000740 |
Mailing Address | Practice Location Address |
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Jennifer Baumstark, CNM 280 Home Olu Place, Kaunakakai, HI 96748 Ph: (808) 553-3145 | Jennifer Baumstark, CNM 280 Home Olu Place, Kaunakakai, HI 96748 Ph: (808) 553-3145 |
Brigid Mulloy, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 280 Homeolu Place, Kaunakakai, HI 96748 Phone: 808-553-5331 Fax: 808-553-3133 | |
Phyllis Laraiso, C.N.M. Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 280 Home Olu Place, Kaunakakai, HI 96748 Phone: 808-553-3145 Fax: 808-553-3163 |