Michelle Marie Ellis, CNM | |
1600 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-4204 | |
(727) 323-3838 | |
(727) 456-0751 |
Full Name | Michelle Marie Ellis |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1600 Dr Martin Luther King Jr St N, St Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851962096 | NPI | - | NPPES |
APRN11014117 | Other | FL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | APRN11014117 (Florida) | Secondary |
367A00000X | Advanced Practice Midwife | APRN11014117 (Florida) | Primary |
Entity Name | Womens Care Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013902923 PECOS PAC ID: 9234031444 Enrollment ID: O20040127000078 |
Entity Name | Womens' Health Hospitalists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205295599 PECOS PAC ID: 1850674870 Enrollment ID: O20170216001354 |
Mailing Address | Practice Location Address |
---|---|
Michelle Marie Ellis, CNM Po Box 748817, Atlanta, GA 30374-8817 Ph: (813) 286-0333 | Michelle Marie Ellis, CNM 1600 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-4204 Ph: (727) 323-3838 |
Joyce A Kepto, ARNP Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1600 Dr Martin Luther King Jr St N, St Petersburg, FL 33704 Phone: 727-323-3838 Fax: 727-456-0751 | |
Callie Ashlock, CNM, APRN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1344 22nd St S, St Petersburg, FL 33712 Phone: 727-824-8181 | |
Alayna Danielle Thornton, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 700 Central Ave Ste 400, St Petersburg, FL 33701 Phone: 727-895-1300 Fax: 727-823-3494 | |
Jenny Marie Bagg, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1344 22nd St S, St Petersburg, FL 33712 Phone: 727-824-8181 Fax: 727-824-8137 | |
Susannah Lea Reed, APRN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1600 Dr Martin Luther King Jr St N, St Petersburg, FL 33704 Phone: 727-323-3838 Fax: 727-456-0751 | |
Brandi R Haugabook, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 700 Central Ave Ste 400, St Petersburg, FL 33701 Phone: 727-895-1300 | |
Mrs. Johanna Lancaster, CNM, WHNP-BC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1600 Martin Luther King St N, St Petersburg, FL 33704 Phone: 727-323-3838 |