| Melissa R Peterson, CNM | |
|
1760 E Pecos Rd, Suite 516, Gilbert, AZ 85295-3200 | |
| (480) 814-1910 | |
| (480) 857-2667 |
| Full Name | Melissa R Peterson |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1760 E Pecos Rd, Gilbert, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013280296 | NPI | - | NPPES |
| 697276 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | AP4400 (Arizona) | Primary |
| Entity Name | Momdoc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184780355 PECOS PAC ID: 3375534282 Enrollment ID: O20040520000050 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa R Peterson, CNM Po Box 6730, Chandler, AZ 85246-6730 Ph: (480) 821-3600 | Melissa R Peterson, CNM 1760 E Pecos Rd, Suite 516, Gilbert, AZ 85295-3200 Ph: (480) 814-1910 |
Mallorie Estelle Resendez Bassetti, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3530 S Val Vista Dr Ste A111, Gilbert, AZ 85297 Phone: 480-818-9530 Fax: 833-963-2174 | |
Ms. Cynthia Churgin, FNP, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1760 E Pecos Rd Ste 235, Gilbert, AZ 85295 Phone: 480-813-0944 Fax: 480-813-0038 | |
Janice Louise Bovee, CNM MSN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3815 S. Val Vista Drive, Gilbert, AZ 85297 Phone: 480-782-0993 Fax: 855-329-8939 | |
Kelley Hazel, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3530 S Val Vista Dr Ste 203, Gilbert, AZ 85297 Phone: 480-917-6480 Fax: 480-857-2667 | |
Kelly Jo Plencner-vega, MSN,CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 Phone: 480-782-0993 Fax: 855-329-8939 | |
Anjulie Broderick, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1760 E Pecos Rd, Ste 516, Gilbert, AZ 85295 Phone: 480-814-1910 Fax: 480-857-2667 |