Micaela Lara Fernandes, CNM | |
2045 S Vineyard Ste 136, Mesa, AZ 85210-6891 | |
(480) 565-2165 | |
Not Available |
Full Name | Micaela Lara Fernandes |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 2045 S Vineyard Ste 136, Mesa, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164028403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
Entity Name | Maricopa County Special Health Care District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073576740 PECOS PAC ID: 4688583651 Enrollment ID: O20031204000823 |
Entity Name | District Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
Mailing Address | Practice Location Address |
---|---|
Micaela Lara Fernandes, CNM 51 E Monterey Way, Phoenix, AZ 85012-2616 Ph: (480) 565-2165 | Micaela Lara Fernandes, CNM 2045 S Vineyard Ste 136, Mesa, AZ 85210-6891 Ph: (480) 565-2165 |
Sue Ellen Sarsam, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1940 S Country Club Dr, Mesa, AZ 85210 Phone: 480-969-5999 | |
Robin Daniels, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2152 S Vineyard Ste 138, Mesa, AZ 85210 Phone: 480-539-6646 Fax: 480-539-6696 | |
Mrs. Belinda E Smith, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2045 S Vineyard Ste 136, Mesa, AZ 85210 Phone: 480-565-5990 | |
Hannah Covert, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2152 S Vineyard Ste 138, Mesa, AZ 85210 Phone: 480-539-6646 Fax: 480-539-6696 | |
Rachel Doster, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2045 S Vineyard, Mesa, AZ 85210 Phone: 480-565-5990 | |
Kathleen Reilly Casey, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2152 S Vineyard Ste 138, Mesa, AZ 85210 Phone: 480-539-6646 |