Ms Loryjean M Kostich, CNM | |
700 S Park St, Madison, WI 53715-1830 | |
(608) 252-7458 | |
(608) 258-6772 |
Full Name | Ms Loryjean M Kostich |
---|---|
Gender | Female |
Speciality | Certified Nurse Midwife (cnm) |
Experience | 26 Years |
Location | 700 S Park St, Madison, Wisconsin |
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 |
---|---|---|---|
1669589107 | NPI | - | NPPES |
1669589107 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 105203-030 (Wisconsin) | Secondary |
367A00000X | Advanced Practice Midwife | 105203-032 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dean Health Systems Inc | 7012827983 | 1054 |
Entity Name | Dean Health Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
Entity Name | The Medical College Of Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
---|---|
Ms Loryjean M Kostich, CNM 9200 W Wisconsin Ave, Department Of Obstetrics And Gynecology, Milwaukee, WI 53226-3522 Ph: (414) 805-6624 | Ms Loryjean M Kostich, CNM 700 S Park St, Madison, WI 53715-1830 Ph: (608) 252-7458 |
Anna Habermeyer, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 451 Junction Rd, Madison, WI 53717 Phone: 608-265-7601 | |
Kymm Ann Wallin, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2402 Winnebago St, Madison, WI 53704 Phone: 608-242-6840 Fax: 608-245-6117 | |
Emily Behrend, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2402 Winnebago St, Madison, WI 53704 Phone: 608-242-6840 | |
Nicole T. Michler, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 20 S Park St, Madison, WI 53715 Phone: 608-287-2830 Fax: 608-287-2845 | |
Cassandra Jo Liss, RN, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2402 Winnebago St, Madison, WI 53704 Phone: 608-242-6840 | |
Melissa Margaret Kaminsky, MSN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: University Health Services, 333 E. Campus Mall #8104, Madison, WI 53715 Phone: 608-265-5600 | |
Erika Ono, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 451 Junction Rd, Madison, WI 53717 Phone: 608-263-0150 Fax: 608-265-7020 |