| Jacqueline Weber, CNM | |
|
705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | |
| (903) 758-2610 | |
| (903) 758-7081 |
| Full Name | Jacqueline Weber |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 705 E Marshall Ave Ste 3000, Longview, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689113060 | NPI | - | NPPES |
| 372147403 | Medicaid | TX | |
| P02417077 | Other | TX | MEDICARE RAIL ROAD |
| 8MF284 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | AP133198 (Texas) | Primary |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Special Health Resources For Texas, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043209919 PECOS PAC ID: 1355326158 Enrollment ID: O20040623001434 |
| Entity Name | Longview Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942269493 PECOS PAC ID: 1254367766 Enrollment ID: O20050714001046 |
| Entity Name | Zeid Womens Health Center Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548597511 PECOS PAC ID: 0941345805 Enrollment ID: O20100303000168 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Weber, CNM 1107 E Marshall Ave, Longview, TX 75601-5602 Ph: (903) 758-2610 | Jacqueline Weber, CNM 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 Ph: (903) 758-2610 |
Jaclyn P Gilliam, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1761 W Loop 281, Longview, TX 75604 Phone: 903-758-2610 Fax: 903-758-7081 | |
Mary Beth Smith, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 705 E Marshall Ave, Suite 3000, Longview, TX 75601 Phone: 903-315-2700 Fax: 903-236-2575 | |
Gabrielle Misenheimer, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 705 E Marshall Ave Ste 3000, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-758-7081 | |
Kelly Denise Royce, APRN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1107 E Marshall Ave, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-758-7081 | |
Sylyna G Kennedy, RN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 705 E Marshall Ave Ste 3000, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-587-7081 |