Maria Mock, CNM | |
414 5th Ave, Albany, GA 31701-1976 | |
(229) 883-4555 | |
(229) 888-0063 |
Full Name | Maria Mock |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 414 5th Ave, Albany, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285818757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | RN083558 (Georgia) | Secondary |
367A00000X | Advanced Practice Midwife | RN083558 CNM (Georgia) | Primary |
Entity Name | Primary Care Of Southwest Georgia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366641318 PECOS PAC ID: 5496777948 Enrollment ID: O20060201000362 |
Entity Name | Southwest Georgia Healthcare Clinics, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881867000 PECOS PAC ID: 9739457896 Enrollment ID: O20170613002024 |
Mailing Address | Practice Location Address |
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Maria Mock, CNM 414 5th Ave, Albany, GA 31701-1976 Ph: (229) 883-4555 | Maria Mock, CNM 414 5th Ave, Albany, GA 31701-1976 Ph: (229) 883-4555 |
Tiffany Lynn Radney, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2100 Palmyra Rd, Albany, GA 31701 Phone: 229-888-3636 Fax: 229-329-7373 | |
Alana Anderson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1001 N Monroe St, Albany, GA 31701 Phone: 229-436-7248 Fax: 229-431-1951 | |
Penny L Champion, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 414 5th Ave, Albany, GA 31701 Phone: 229-883-4555 Fax: 229-888-0063 | |
Corinna Marie Gilkey, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 401 S Madison St, Albany, GA 31701 Phone: 229-888-3636 Fax: 229-888-5535 | |
Diann Elizabeth Burling, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2100 Palmyra Rd, Albany, GA 31701 Phone: 229-888-3636 Fax: 229-888-5535 | |
Mrs. Amanda Banks Thomas, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 803 13th Avenue, Albany, GA 31701 Phone: 229-434-7640 Fax: 229-434-7647 |