| Annette R Payot, CNM | |
|
6201 Roosevelt Rd, Berwyn, IL 60402-1108 | |
| (708) 386-0845 | |
| (708) 386-8472 |
| Full Name | Annette R Payot |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 6201 Roosevelt Rd, Berwyn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376730366 | NPI | - | NPPES |
| 01621679 | Other | IL | BCBS GROUP |
| 209006749 | Other | IL | ILLINOIS LICENSE |
| 041345892 | Other | IL | MSN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209006749 (Illinois) | Primary |
| Entity Name | Pcc Community Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871516799 PECOS PAC ID: 1557270139 Enrollment ID: O20040206000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Annette R Payot, CNM 6201 Roosevelt Rd, Berwyn, IL 60402-1108 Ph: (708) 386-0845 | Annette R Payot, CNM 6201 Roosevelt Rd, Berwyn, IL 60402-1108 Ph: (708) 386-0845 |
Katherine E Herold, APN Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6201 Roosevelt Rd, Berwyn, IL 60402 Phone: 708-386-0845 Fax: 708-386-8472 | |
Tera Martin, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6201 Roosevelt Rd, Berwyn, IL 60402 Phone: 708-386-0845 Fax: 708-386-8472 | |
Danielle Kraessig, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6201 Roosevelt Rd, Berwyn, IL 60402 Phone: 708-386-0845 Fax: 708-386-8472 | |
Melissa Vargas, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6201 Roosevelt Rd, Berwyn, IL 60402 Phone: 708-386-0845 | |
Sydney Elizabeth Lammers, CNM, APRN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6201 Roosevelt Rd, Berwyn, IL 60402 Phone: 708-386-0845 | |
Lorna Davis, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6201 Roosevelt Rd, Berwyn, IL 60402 Phone: 708-386-0845 |