Lisa Marie Marie Chism Fraine, CNM | |
780 Main Street, Great Barrington, MA 01230 | |
(413) 528-1470 | |
(413) 528-3167 |
Full Name | Lisa Marie Marie Chism Fraine |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 780 Main Street, Great Barrington, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053465328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 149 (West Virginia) | Secondary |
367A00000X | Advanced Practice Midwife | (Massachusetts) | Primary |
Entity Name | Shenandoah Valley Medical System, Inc |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1083617823 PECOS PAC ID: 9739093097 Enrollment ID: O20031119000556 |
Mailing Address | Practice Location Address |
---|---|
Lisa Marie Marie Chism Fraine, CNM P.o. Box 30, Great Barrington, MA 01230 Ph: (413) 528-9311 | Lisa Marie Marie Chism Fraine, CNM 780 Main Street, Great Barrington, MA 01230 Ph: (413) 528-1470 |
Linda K Baxter, CNM MS Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 780 Main St, Barrington Obgyn, Great Barrington, MA 01230 Phone: 413-528-1470 Fax: 413-528-3167 | |
Gretchen Lynn Chase-rey, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 780 Main Street, Great Barrington, MA 01230 Phone: 413-528-1470 Fax: 413-528-3167 |