| Elise Johanson Doll, CNM | |
|
1200 Old York Rd, Abington, PA 19001-3720 | |
| (215) 481-2000 | |
| Not Available |
| Full Name | Elise Johanson Doll |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1200 Old York Rd, Abington, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336775931 | NPI | - | NPPES |
| MW010570 | Other | PA | CNM LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | MW010570 (Pennsylvania) | Secondary |
| 367A00000X | Advanced Practice Midwife | 25ME00071401 (New Jersey) | Primary |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20130307000255 |
| Mailing Address | Practice Location Address |
|---|---|
| Elise Johanson Doll, CNM 1200 Old York Rd, Abington, PA 19001-3788 Ph: (215) 481-2000 | Elise Johanson Doll, CNM 1200 Old York Rd, Abington, PA 19001-3720 Ph: (215) 481-2000 |
Yacoba Zwennes, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1245 Highland Ave Ste 109, Abington, PA 19001 Phone: 215-481-4211 | |
Julianna Choi, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1200 Old York Rd, Abington, PA 19001 Phone: 215-481-2000 | |
Jameer Weldon, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1200 Old York Rd, Abington, PA 19001 Phone: 215-481-2000 |