Katlyn Deanne Hodak, CNM | |
400 Foote Ave, Jamestown, NY 14701-6800 | |
(716) 484-1914 | |
Not Available |
Full Name | Katlyn Deanne Hodak |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 400 Foote Ave, Jamestown, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861043515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 001959 (New York) | Primary |
Entity Name | Lane Women's Health Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265760235 PECOS PAC ID: 0143365668 Enrollment ID: O20100308000583 |
Mailing Address | Practice Location Address |
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Katlyn Deanne Hodak, CNM 400 Foote Ave, Jamestown, NY 14701-6800 Ph: (716) 484-1914 | Katlyn Deanne Hodak, CNM 400 Foote Ave, Jamestown, NY 14701-6800 Ph: (716) 484-1914 |
Dawn Maberry, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 93 Southwestern Dr, Jamestown, NY 14701 Phone: 716-708-5213 | |
Nikki Michele Peterson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 400 Foote Avenue, Jamestown, NY 14701 Phone: 716-484-9194 Fax: 716-484-9148 | |
Mrs. Debra Lynn Arndt, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 400 Foote Ave, Jamestown, NY 14701 Phone: 716-484-9194 Fax: 716-484-0115 | |
Korinda Messenger, CNM Advanced Practice Midwife Medicare: May Accept Medicare Assignments Practice Location: 400 Foote Ave, Jamestown, NY 14701 Phone: 716-484-9194 Fax: 716-484-0115 |