| Cameryn Alexandra Lacey, CNM | |
|
675 S Main St, Cheshire, CT 06410-3153 | |
| (203) 272-1811 | |
| (203) 271-3152 |
| Full Name | Cameryn Alexandra Lacey |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 675 S Main St, Cheshire, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093571796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 002282 (New York) | Secondary |
| 367A00000X | Advanced Practice Midwife | 000605 (Connecticut) | Primary |
| Entity Name | Nuvance Health Medical Practice, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437358033 PECOS PAC ID: 1658468442 Enrollment ID: O20071025000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Cameryn Alexandra Lacey, CNM 45 Reade Pl, Poughkeepsie, NY 12601-3947 Ph: (845) 454-8500 | Cameryn Alexandra Lacey, CNM 675 S Main St, Cheshire, CT 06410-3153 Ph: (203) 272-1811 |
Pamela K Townshend, CNM, MSN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 675 S Main St, Cheshire, CT 06410 Phone: 203-272-1811 | |
Amanda Lendler, CNM; MSN Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 675 S Main St, Cheshire, CT 06410 Phone: 203-250-2125 Fax: 203-250-2161 | |
Sivan Doron, C.N.M,, M.S.N. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 675 S Main St, Cheshire, CT 06410 Phone: 203-250-2125 | |
Tracy C Wittreich, C.N.M., M.S.N Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 675 S Main St, Cheshire, CT 06410 Phone: 203-272-1811 | |
Shangyne D Samuels, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 675 S Main St, Cheshire, CT 06410 Phone: 203-272-1811 | |
Elisabeth Hyde, CNM, MSN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 675 S Main St, Cheshire, CT 06410 Phone: 203-272-1811 |