| Jacqueline Rose Mcmahon, CNM | |
|
2831 Fort Missoula Rd Ste 232, Missoula, MT 59804-7479 | |
| (406) 523-5650 | |
| Not Available |
| Full Name | Jacqueline Rose Mcmahon |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 2831 Fort Missoula Rd Ste 232, Missoula, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255187720 | NPI | - | NPPES |
| APRN-246385 | Other | MT | CNM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | APRN-246385 (Montana) | Primary |
| Entity Name | Origin Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841835113 PECOS PAC ID: 8325465487 Enrollment ID: O20200903001640 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Rose Mcmahon, CNM 2230 South Ave W, Missoula, MT 59801-6502 Ph: (301) 288-1031 | Jacqueline Rose Mcmahon, CNM 2831 Fort Missoula Rd Ste 232, Missoula, MT 59804-7479 Ph: (406) 523-5650 |
Brittany Ross, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2831 Fort Missoula Rd Ste 232, Missoula, MT 59804 Phone: 406-523-5650 | |
Mrs. Katherine Reinhard Rye, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 219 East Main, Missoula, MT 59802 Phone: 406-728-5490 Fax: 406-728-5497 | |
Nichole Loran, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2404 39th St, Missoula, MT 59803 Phone: 406-541-7115 | |
Mrs. Brenda Marie Degrazio, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2825 Fort Missoula Rd, Ste 217, Missoula, MT 59804 Phone: 406-728-8170 Fax: 406-728-9409 | |
Erin Marie Pence, CNM, RN Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2831 Fort Missoula Rd Ste 232, Missoula, MT 59804 Phone: 406-523-5650 | |
Ms. Wendy Lynn Flansburg, PMHNP-BC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2831 Fort Missoula Rd Ste 206, Missoula, MT 59804 Phone: 406-327-4351 Fax: 406-721-3907 |