| Autumn Burkman, CNM | |
|
2450 Northpark Dr Ste A, Columbus, IN 47203-2292 | |
| (812) 376-3311 | |
| Not Available |
| Full Name | Autumn Burkman |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 2450 Northpark Dr Ste A, Columbus, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144907155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 71014122A (Indiana) | Secondary |
| 367A00000X | Advanced Practice Midwife | 09000414A (Indiana) | Primary |
| Entity Name | Columbus Regional Health Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336510098 PECOS PAC ID: 1052612314 Enrollment ID: O20151211000054 |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Burkman, CNM 2715 N County Road 275 E, North Vernon, IN 47265-9393 Ph: (812) 764-5572 | Autumn Burkman, CNM 2450 Northpark Dr Ste A, Columbus, IN 47203-2292 Ph: (812) 376-3311 |
Nicole Marie Sichting, WHNP CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2450 Northpark Dr Ste A, Columbus, IN 47203 Phone: 812-376-3311 Fax: 812-376-4125 | |
Tiffany Marie Downing, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2450 Northpark Dr, Columbus, IN 47203 Phone: 812-376-3311 | |
Kyra Denise Betts, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2114 25th St Ste A, Columbus, IN 47201 Phone: 812-372-1581 |