Mrs Jessica Lynn Balstad, CNM | |
520 Madison Oak Dr, San Antonio, TX 78258-3912 | |
(210) 297-4000 | |
Not Available |
Full Name | Mrs Jessica Lynn Balstad |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 520 Madison Oak Dr, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750077038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 820060 (Texas) | Secondary |
176B00000X | Midwife | 1114998 (Texas) | Secondary |
367A00000X | Advanced Practice Midwife | 1114998 (Texas) | Primary |
Entity Name | Obhg Texas Holdings Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica Lynn Balstad, CNM 1644 Allington Park, Bulverde, TX 78163-2594 Ph: (512) 965-3788 | Mrs Jessica Lynn Balstad, CNM 520 Madison Oak Dr, San Antonio, TX 78258-3912 Ph: (210) 297-4000 |
Pamela George, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 7950 Floyd Curl Dr, Suite 300, San Antonio, TX 78229 Phone: 210-615-6505 Fax: 210-615-1321 | |
Dianna Jean Hagl, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 11730 Bridge Hampton, San Antonio, TX 78251 Phone: 210-416-4929 | |
Tracie Diane Leveridge, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 5616 Lone Star Pkwy, San Antonio, TX 78253 Phone: 210-281-5066 | |
Jessica B Acosta, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 5282 Medical Dr Ste 240, San Antonio, TX 78229 Phone: 210-358-8820 | |
Ms. Kristin Nicole Van Winkle, NP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 4499 Medical Dr Ste 140, San Antonio, TX 78229 Phone: 210-698-0742 Fax: 210-233-9280 | |
Olivia Green, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 8715 Village Dr Ste 305, San Antonio, TX 78217 Phone: 210-226-7827 | |
Jessica Jimenez-wilson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 11339 Camp Creek Trl, San Antonio, TX 78245 Phone: 210-831-4452 |