Mary C Mentag, CNM | |
6777 W Maple Rd, West Bloomfield, MI 48322-3013 | |
(313) 516-2725 | |
(313) 516-2735 |
Full Name | Mary C Mentag |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 6777 W Maple Rd, West Bloomfield, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801569223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 4704334986 (Michigan) | Primary |
Entity Name | Henry Ford Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Mailing Address | Practice Location Address |
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Mary C Mentag, CNM 6777 W Maple Rd, West Bloomfield, MI 48322-3013 Ph: (313) 516-2725 | Mary C Mentag, CNM 6777 W Maple Rd, West Bloomfield, MI 48322-3013 Ph: (313) 516-2725 |
Amy S Zimmermann, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-0100 | |
Sydney Christine Constante, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-661-6425 Fax: 248-325-0094 | |
Mrs. Danielle Elizabeth Andrews, MSN, RN, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6161 Orchard Lake Rd Ste 100, West Bloomfield, MI 48322 Phone: 248-419-1483 | |
Mrs. Dajai Dominique Scott, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-880-5838 Fax: 248-325-0021 |