Tamara Jackman, | |
153 Cesar Chavez St, Saint Paul, MN 55107-2226 | |
(651) 222-1816 | |
(651) 602-7517 |
Full Name | Tamara Jackman |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 153 Cesar Chavez St, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053371872 | NPI | - | NPPES |
HP48978 | Other | MN | HEALTH PARTNERS |
573T9JA | Other | MN | BCBS |
NA9021042565 | Other | MN | PREFERRED ONE |
07-04167 | Other | MN | MEDICA |
132582 | Other | MN | UCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 164100-2 (Minnesota) | Primary |
Entity Name | West Side Community Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821149964 PECOS PAC ID: 2062306434 Enrollment ID: O20040209000647 |
Mailing Address | Practice Location Address |
---|---|
Tamara Jackman, 3023 44th Ave S, Minneapolis, MN 55406-2311 Ph: () - | Tamara Jackman, 153 Cesar Chavez St, Saint Paul, MN 55107-2226 Ph: (651) 222-1816 |
Mrs. Renee Lynn Clark, DNP, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-602-7500 | |
Ms. Jessica Ranallo, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 952-967-5584 Fax: 651-293-8232 | |
Sara Elizabeth Jennerjohn, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2635 University Ave W Ste 160, Saint Paul, MN 55114 Phone: 651-254-3500 | |
Mary E Skorczeski, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2635 University Ave, Ste 160 Mail Stop 13901b, Saint Paul, MN 55114 Phone: 651-254-3500 Fax: 651-254-3699 | |
Ms. Emily Rumsey, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 895 7th St E, Saint Paul, MN 55106 Phone: 651-602-7500 | |
Ann Magdalen Bruce, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 651-293-8100 Fax: 651-293-8106 |