| Aqueelah Tillman, CNM | |
|
2999 Regent St Ste 524, Berkeley, CA 94705-2120 | |
| (510) 495-0310 | |
| Not Available |
| Full Name | Aqueelah Tillman |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 3 Years |
| Location | 2999 Regent St Ste 524, Berkeley, California |
| 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 |
|---|---|---|---|
| 1467230524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | NMW236378 (California) | Primary |
| 176B00000X | Midwife | 236378 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifelong Medical Care | 2062304538 | 75 |
| Entity Name | UCSF Health Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043628316 PECOS PAC ID: 9638403819 Enrollment ID: O20190621000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Aqueelah Tillman, CNM 2999 Regent St Ste 524, Berkeley, CA 94705-2120 Ph: Not Available | Aqueelah Tillman, CNM 2999 Regent St Ste 524, Berkeley, CA 94705-2120 Ph: (510) 495-0310 |
Eva L. Goodfriend-reano, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2216 Mcgee Ave, Berkeley, CA 94703 Phone: 510-848-1352 Fax: 510-323-2361 |
Ms. Lauren L. Galaty, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2001 Dwight Way, Berkeley Primary Care, Room 1363, Berkeley, CA 94704 Phone: 510-204-4637 |
Kassandra Marie Donnels, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-4444 |
Kristen Park, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2404 Dana St, Apt B, Berkeley, CA 94704 Phone: 408-636-8431 |
Mrs. Lior Mayer, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-3977 Fax: 510-204-5129 |
Natalie A Martina, RN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-3977 Fax: 510-204-5429 |
Dominika Maria Dymarczyk, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2500 Milvia St, Berkeley, CA 94704 Phone: 510-410-3524 Fax: 510-506-7722 |