| Grace Shelby Buezis, CNM | |
|
2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | |
| (651) 232-7800 | |
| Not Available |
| Full Name | Grace Shelby Buezis |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 2945 Hazelwood St Ste 100, Maplewood, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740861541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 638 (Minnesota) | Primary |
| 367A00000X | Advanced Practice Midwife | 236185 (California) | Secondary |
| Entity Name | Orohealth Corporation A Non Profit Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013933167 PECOS PAC ID: 4082501192 Enrollment ID: O20040325001703 |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1023420726 PECOS PAC ID: 9739092388 Enrollment ID: O20141203002585 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Shelby Buezis, CNM 2809 Olive Hwy Ste 310, Oroville, CA 95966-6135 Ph: (530) 533-8500 | Grace Shelby Buezis, CNM 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 Ph: (651) 232-7800 |
Rachel Lynn Gates, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2603 White Bear Ave N, Maplewood, MN 55109 Phone: 651-600-3035 Fax: 651-348-8783 | |
Marian Laura Elizabeth Keillor, MSN, APRN, CNM, CLC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2945 Hazelwood St Ste 100, Maplewood, MN 55109 Phone: 651-232-7800 Fax: 651-232-7940 | |
Lindsay Anne Nelson, APRN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2603 White Bear Ave N, Maplewood, MN 55109 Phone: 651-600-3035 | |
Kayla Marie Fuller Stinger, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2945 Hazelwood St Ste 100, Maplewood, MN 55109 Phone: 612-273-7111 | |
Fartun Abdullahi Mohamed, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2603 White Bear Ave N, Maplewood, MN 55109 Phone: 651-242-4944 | |
Penny Menke, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1737 Beam Ave, Maplewood, MN 55109 Phone: 651-770-3320 Fax: 651-770-3684 |