| Blake William Ferry, | |
|
1170 Fortune Blvd, Shiloh, IL 62269-7358 | |
| (618) 997-5266 | |
| Not Available |
| Full Name | Blake William Ferry |
|---|---|
| Gender | Male |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 1 Years |
| Location | 1170 Fortune Blvd, Shiloh, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407652159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209.031440 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Heartland Women's Healthcare Ltd | 1759270648 | 31 |
| Entity Name | Heartland Women's Healthcare Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851307532 PECOS PAC ID: 1759270648 Enrollment ID: O20040310001225 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake William Ferry, 12 Orchard Dr, Charleston, IL 61920-3349 Ph: (217) 549-8740 | Blake William Ferry, 1170 Fortune Blvd, Shiloh, IL 62269-7358 Ph: (618) 997-5266 |
Christina Marie Zagorski, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 240, Shiloh, IL 62269 Phone: 618-607-3800 | |
Aimee Elise White, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1197 Fortune Blvd Ste 1, Shiloh, IL 62269 Phone: 618-997-5266 | |
Jennifer Feder, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 240, Shiloh, IL 62269 Phone: 618-234-2390 | |
Tommi Amanda Ladd Carrell, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1197 Fortune Blvd Ste 1, Shiloh, IL 62269 Phone: 618-997-5266 |