Mrs Stacy Ellen Hudepohl, CNM | |
4834 Socialville Foster Rd Ste 60, Mason, OH 45040-6805 | |
(513) 561-8405 | |
Not Available |
Full Name | Mrs Stacy Ellen Hudepohl |
---|---|
Gender | Female |
Speciality | Certified Nurse Midwife (cnm) |
Experience | 25 Years |
Location | 4834 Socialville Foster Rd Ste 60, Mason, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669666871 | NPI | - | NPPES |
2260673 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 05759NM (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christ Hospital Medical Specialists Llc | 6507998432 | 98 |
Entity Name | Premier Health Specialists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
Entity Name | Christ Hospital Medical Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124341649 PECOS PAC ID: 6507998432 Enrollment ID: O20100713000295 |
Mailing Address | Practice Location Address |
---|---|
Mrs Stacy Ellen Hudepohl, CNM 4834 Socialville Foster Rd Ste 60, Mason, OH 45040-6805 Ph: (513) 229-8010 | Mrs Stacy Ellen Hudepohl, CNM 4834 Socialville Foster Rd Ste 60, Mason, OH 45040-6805 Ph: (513) 561-8405 |
Charissa Diane Newton, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 7450 S Mason Montgomery Rd, Suite 201, Mason, OH 45040 Phone: 513-770-2797 | |
Rebecca Ray, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 7450 S Mason Montgomery Rd Unit 201, Mason, OH 45040 Phone: 513-770-2797 |