| Donna J Augustine, CNM | |
|
1400 E 2nd St, Defiance, OH 43512-2440 | |
| (419) 784-1414 | |
| (419) 783-2799 |
| Full Name | Donna J Augustine |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 28 Years |
| Location | 1400 E 2nd St, Defiance, 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 |
|---|---|---|---|
| 1205839313 | NPI | - | NPPES |
| 2032419 | Medicaid | OH | |
| H042032 | Other | OH | OH MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | RN 163053 (Ohio) | Secondary |
| 367A00000X | Advanced Practice Midwife | APRN.CNM.03448 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health - Defiance Hospital | Defiance, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Medical Partners Northern Region Specialty Care Llc | 9739585480 | 79 |
| Entity Name | Henry County Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407880909 PECOS PAC ID: 0345141644 Enrollment ID: O20040120000128 |
| Entity Name | Health Professionals Of Holmes County, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083897060 PECOS PAC ID: 6002916194 Enrollment ID: O20070702000432 |
| Entity Name | Mercy Medical Partners Northern Region Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669756532 PECOS PAC ID: 0244407823 Enrollment ID: O20120123000509 |
| Entity Name | Mercy Medical Partners Northern Region Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730701749 PECOS PAC ID: 9739585480 Enrollment ID: O20210907000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Donna J Augustine, CNM 2200 Jefferson Ave Fl 5, Toledo, OH 43604-7102 Ph: () - | Donna J Augustine, CNM 1400 E 2nd St, Defiance, OH 43512-2440 Ph: (419) 784-1414 |
Ms. Danielle Elaine Lange, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1200 Ralston Ave, Defiance, OH 43512 Phone: 419-783-6955 |