Marissa Hakes, RN, CNM | |
4900 Broad Rd, Syracuse, NY 13215-2265 | |
(315) 492-5011 | |
Not Available |
Full Name | Marissa Hakes |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 4900 Broad Rd, Syracuse, 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 |
---|---|---|---|
1164107850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 750088 (New York) | Secondary |
367A00000X | Advanced Practice Midwife | (New York) | Primary |
Entity Name | Upstate Community Medical, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689620163 PECOS PAC ID: 0143238782 Enrollment ID: O20060323000644 |
Mailing Address | Practice Location Address |
---|---|
Marissa Hakes, RN, CNM 116 Parsons Rd, Camillus, NY 13031-2144 Ph: (131) 536-8408 | Marissa Hakes, RN, CNM 4900 Broad Rd, Syracuse, NY 13215-2265 Ph: (315) 492-5011 |
Mrs. Therese Brown Mahoney, NP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 770 James St, Suite 100, Syracuse, NY 13203 Phone: 315-422-2222 Fax: 315-472-8497 | |
Mrs. Barbara Ellen Teich-visco, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 421 Montgomery St Fl 9, Syracuse, NY 13202 Phone: 315-435-3295 Fax: 315-435-8242 | |
Mrs. Kathleen Lynn Gere, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 600 E Genesee St, Suite 104, Syracuse, NY 13202 Phone: 315-426-1100 Fax: 315-426-1148 | |
Patricia Swagart, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 301 Prospect Ave, Mchc Obgyn Pob Ste 706, Syracuse, NY 13203 Phone: 315-703-5200 Fax: 315-703-5201 | |
Lita M Morris, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 600 E Genesee St, Suite 104, Syracuse, NY 13202 Phone: 315-426-1100 Fax: 315-426-1153 | |
Mrs. Ruth B. Dlamini-ndeze, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 819 S Salina St, Syracuse, NY 13202 Phone: 315-476-7921 Fax: 315-474-1448 | |
Janice Beaman, NP, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 4850 Broad Rd, Ste 2c, Syracuse, NY 13215 Phone: 315-492-5915 Fax: 315-492-5210 |