Jessica Wilmes, RN, CNM | |
49725 County 83, Staples, MN 56479-5280 | |
(218) 894-8859 | |
Not Available |
Full Name | Jessica Wilmes |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 49725 County 83, Staples, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891123048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | R 164530-9 (Minnesota) | Primary |
Entity Name | Lakewood Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841280823 PECOS PAC ID: 1052229671 Enrollment ID: O20031104000411 |
Entity Name | Centracare Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Mailing Address | Practice Location Address |
---|---|
Jessica Wilmes, RN, CNM 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-8859 | Jessica Wilmes, RN, CNM 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-8859 |
Jennifer Renee Waytashek, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-849-1515 | |
Alexis Dewall, DNP, APRN, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 |