| Blake William Ferry, | |
| 
					1170 Fortune Blvd, Shiloh, IL 62269-7358  | |
| (618) 997-5266 | |
| Not Available | 
| Full Name | Blake William Ferry | 
|---|---|
| Gender | Male | 
| Speciality | Advanced Practice Midwife | 
| Location | 1170 Fortune Blvd, Shiloh, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407652159 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209.031440 (Illinois) | Primary | 
| 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: Medicare Enrolled 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: Medicare Enrolled 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  |