Elaine Boehm, CNM | |
153 Cesar Chavez St, W. St. Paul, MN 55107-2226 | |
(651) 222-1816 | |
(651) 222-1305 |
Full Name | Elaine Boehm |
---|---|
Gender | Female |
Speciality | Certified Nurse Midwife (cnm) |
Experience | 17 Years |
Location | 153 Cesar Chavez St, W. St. Paul, Minnesota |
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 |
---|---|---|---|
1295990901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 185338-2 (Minnesota) | Secondary |
367A00000X | Advanced Practice Midwife | R-185338-2 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Side Community Health Services, Inc. | 2062306434 | 25 |
Entity Name | West Side Community Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821149964 PECOS PAC ID: 2062306434 Enrollment ID: O20040209000647 |
Mailing Address | Practice Location Address |
---|---|
Elaine Boehm, CNM 153 Cesar Chavez St, W. St. Paul, MN 55107-2226 Ph: (651) 222-1816 | Elaine Boehm, CNM 153 Cesar Chavez St, W. St. Paul, MN 55107-2226 Ph: (651) 222-1816 |
Lisa Smith, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 153 Cesar Chavez St, Westside Community Health Services, Inc., W. St. Paul, MN 55107 Phone: 651-602-7552 Fax: 651-602-7580 | |
Sonja M Batalden, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 153 Cesar Chavez St, West Side Community Health Services, W. St. Paul, MN 55107 Phone: 651-222-1816 Fax: 651-222-1305 |