Ms Shirley Mattis Bush, CNM is a
Advanced Practice Midwife based in Gastonia, New York. Ms Shirley Mattis Bush is licensed to practice in North Carolina (license number 205) and her current practice location is
1527 Lavington Ct, Gastonia, New York. She can be reached at her office (for appointments etc.) via phone at
(704) 862-0374.
NPI number for Ms Shirley Mattis Bush is 1629161377 and her current mailing address is 1527 Lavington Ct, Gastonia, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629161377.
Provider's Profile
| Full Name | Ms Shirley Mattis Bush |
|---|
| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1527 Lavington Ct, Gastonia, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629161377
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 10/06/2008
Medical Identifiers
Medical identifiers for Ms Shirley Mattis Bush such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629161377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 205 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Shirley Mattis Bush is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Shirley Mattis Bush, CNM
1527 Lavington Ct,
Gastonia, NY 28056
Ph: () - | Ms Shirley Mattis Bush, CNM
1527 Lavington Ct,
Gastonia, NY 28056
Ph: (704) 862-0374 |
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