| Brittany Ann Diaz, CNM | |
|
22 Bramhall St, Portland, ME 04102-3134 | |
| (207) 662-5400 | |
| (207) 662-6219 |
| Full Name | Brittany Ann Diaz |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 22 Bramhall St, Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932533189 | NPI | - | NPPES |
| 110097589A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | RN2282978 (Massachusetts) | Secondary |
| 367A00000X | Advanced Practice Midwife | CNM252012 (Maine) | Primary |
| Entity Name | Dothouse Health Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578514733 PECOS PAC ID: 8729991021 Enrollment ID: O20031112000264 |
| Entity Name | Brigham & Womens Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790717650 PECOS PAC ID: 4385554732 Enrollment ID: O20040407000771 |
| Entity Name | Internal Medical Associates-ebnhc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 |
| Entity Name | East Boston Neighborhood Health Center Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316994411 PECOS PAC ID: 9032356050 Enrollment ID: O20130513000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Brittany Ann Diaz, CNM 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-5400 | Brittany Ann Diaz, CNM 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-5400 |
Kristin Ricci, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2911 | |
Jennifer Gilbert, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 527 Ocean Ave, Portland, ME 04103 Phone: 207-871-0666 Fax: 207-347-7151 | |
Holly Ann Christensen, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 195 Fore River Pkwy, Portland, ME 04102 Phone: 207-871-0666 Fax: 207-347-7151 | |
Emily J. Hansen, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 443 Congress St, 2nd Floor, Portland, ME 04101 Phone: 207-797-8881 | |
Amy Harris, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 970 Forest Ave, Portland, ME 04103 Phone: 207-797-8881 | |
Ms. Amy Kogut, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 84 Marginal Way Ste 900, Portland, ME 04101 Phone: 207-874-2445 | |
Julie M Lundman, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 203-889-7831 |