Jennifer Feder, CNM | |
1414 Cross St Ste 240, Shiloh, IL 62269-2988 | |
(618) 234-2390 | |
Not Available |
Full Name | Jennifer Feder |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1414 Cross St Ste 240, Shiloh, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669109971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 209026378 (Illinois) | Primary |
Entity Name | Fairview Heights Medical Group Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Feder, CNM 1414 Cross St Ste 240, Shiloh, IL 62269-2988 Ph: (618) 234-2390 | Jennifer Feder, CNM 1414 Cross St Ste 240, Shiloh, IL 62269-2988 Ph: (618) 234-2390 |
Christina Marie Zagorski, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1414 Cross St Ste 240, Shiloh, IL 62269 Phone: 618-607-3800 | |
Aimee Elise White, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1197 Fortune Blvd Ste 1, Shiloh, IL 62269 Phone: 618-997-5266 | |
Tommi Amanda Ladd Carrell, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1197 Fortune Blvd Ste 1, Shiloh, IL 62269 Phone: 618-997-5266 |