| Bridget E Heckler, CNM | |
|
1140 S Knoxville Ave Ste B, Saint Marys, OH 45885-2609 | |
| (419) 394-7314 | |
| (419) 394-7313 |
| Full Name | Bridget E Heckler |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 28 Years |
| Location | 1140 S Knoxville Ave Ste B, Saint Marys, Ohio |
| 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 |
|---|---|---|---|
| 1497780233 | NPI | - | NPPES |
| 9934723 | Other | OH | MEDICARE GROUP PTAN |
| 1447288717 | Other | OH | GROUP NPI |
| H295760 | Other | OH | MEDICARE INDIVIDUAL PTAN |
| 2070459 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | COA-00663-NM (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand Lake Health System | Saint marys, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jtdm Family Practice Llc | 2163415837 | 43 |
| Entity Name | Jtdm Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184652539 PECOS PAC ID: 2163415837 Enrollment ID: O20040407000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Bridget E Heckler, CNM 200 Saint Clair Ave, Saint Marys, OH 45885-2400 Ph: (419) 300-1129 | Bridget E Heckler, CNM 1140 S Knoxville Ave Ste B, Saint Marys, OH 45885-2609 Ph: (419) 394-7314 |
Whitney Nicole Clark, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1140 S Knoxville Ave Ste B, Saint Marys, OH 45885 Phone: 419-394-7314 Fax: 419-394-7313 | |
Brittani Skelton, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1140 S Knoxville Ave Ste B, Saint Marys, OH 45885 Phone: 419-394-7314 |