| Cecilia Martin, CNM | |
|
44201 Dequindre Rd, Troy, MI 48085-1117 | |
| (248) 964-3476 | |
| (248) 964-3422 |
| Full Name | Cecilia Martin |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 44201 Dequindre Rd, Troy, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679235246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 4704297887 (Michigan) | Primary |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Cecilia Martin, CNM 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: Not Available | Cecilia Martin, CNM 44201 Dequindre Rd, Troy, MI 48085-1117 Ph: (248) 964-3476 |
Jacqueline Richardson, CNM, DNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5000 |
Dana Katherine O'connor, DNP, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4550 Investment Dr Ste 200, Troy, MI 48098 Phone: 248-996-5805 |
Christine Y Jacobson, RN CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5000 |