| Cynthia R Wallace, CNM | |
|
2060 Dan Proctor Dr, Suite 1200, Saint Marys, GA 31558-3894 | |
| (912) 540-6750 | |
| (912) 540-6773 |
| Full Name | Cynthia R Wallace |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 31 Years |
| Location | 2060 Dan Proctor Dr, Saint Marys, Georgia |
| 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 |
|---|---|---|---|
| 1528257268 | NPI | - | NPPES |
| 00668885A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | RN046062 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Georgia Health System -- Camden Campus | Saint marys, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cooperative Healthcare Services, Inc. | 9830093640 | 199 |
| Entity Name | Cooperative Healthcare Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia R Wallace, CNM 2060 Dan Proctor Dr, Suite 1200, Saint Marys, GA 31558-3894 Ph: (912) 540-6750 | Cynthia R Wallace, CNM 2060 Dan Proctor Dr, Suite 1200, Saint Marys, GA 31558-3894 Ph: (912) 540-6750 |
Jacqueline Frances Sahrphillips, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2040 Dan Proctor Dr Ste 120, Saint Marys, GA 31558 Phone: 912-540-6760 Fax: 912-540-6768 | |
Mrs. Bethany Norman Ware, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2060 Dan Proctor Dr Ste 1800, Saint Marys, GA 31558 Phone: 912-510-7376 | |
Patricia Ann Heinrich, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2040 Dan Proctor Dr Ste 120, Saint Marys, GA 31558 Phone: 912-540-6760 Fax: 912-576-5581 | |
Joanne Altringer, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 202 Lakeshore Drive, Suite A, Saint Marys, GA 31558 Phone: 912-673-1771 Fax: 912-673-1811 |