Marina N Podolskiy, ARNP/ CNM | |
3231 S National Ave Ste 320, Springfield, MO 65807-7304 | |
(417) 888-5611 | |
Not Available |
Full Name | Marina N Podolskiy |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 3231 S National Ave Ste 320, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124413323 | NPI | - | NPPES |
RN60025099 | Other | WA | WA STATE DEPT OF HEALTH, RN LICENSE |
CNM04878 | Other | AMERICAN MIDWIFERY CERTIFICATION BOARD (AMCB) | |
2108562 | Medicaid | WA | |
AP60863109 | Other | WA | WA STATE ARNP LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | AP60863109 (Washington) | Secondary |
367A00000X | Advanced Practice Midwife | 2020026950 (Missouri) | Primary |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
Mailing Address | Practice Location Address |
---|---|
Marina N Podolskiy, ARNP/ CNM 3231 S National Ave Ste 320, Springfield, MO 65807-7304 Ph: (417) 888-5611 | Marina N Podolskiy, ARNP/ CNM 3231 S National Ave Ste 320, Springfield, MO 65807-7304 Ph: (417) 888-5611 |
Donna Forbes, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5611 | |
Sarah Elizabeth Stephens, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3231 S National Ave Ste 230, Springfield, MO 65807 Phone: 471-888-5611 Fax: 417-888-5612 | |
Mrs. Carla Marie Lantz, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 440 E Tampa St, Springfield, MO 65806 Phone: 417-831-0150 Fax: 417-447-0573 | |
Carla Sue Rouw, IBCLC, ARNP, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3231 S National Ave Ste 253, Springfield, MO 65807 Phone: 417-888-5611 | |
Tyler Johnson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3840 South Ave, Springfield, MO 65807 Phone: 417-612-8509 | |
Linda L Punch, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1965 S Fremont Ave Ste 270, Springfield, MO 65804 Phone: 417-820-3890 |