| Jenevieve Lee Clark, CNM | |
|
400 S Clark St, Butte, MT 59701-2328 | |
| (406) 723-2500 | |
| Not Available |
| Full Name | Jenevieve Lee Clark |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 3 Years |
| Location | 400 S Clark St, Butte, Montana |
| 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 |
|---|---|---|---|
| 1811641319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | NUR-APRN-LIC-192285 (Montana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Origin Health Llc | 8325465487 | 10 |
| Entity Name | Scl Health Medical Group-butte Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477869600 PECOS PAC ID: 2466633102 Enrollment ID: O20110301000023 |
| 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 |
|---|---|
| Jenevieve Lee Clark, CNM 1640 Lowell Ave, Butte, MT 59701-5451 Ph: (406) 366-2518 | Jenevieve Lee Clark, CNM 400 S Clark St, Butte, MT 59701-2328 Ph: (406) 723-2500 |
Rebecca Marie Lopez, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 445 Centennial Ave, Butte, MT 59701 Phone: 406-723-4075 Fax: 406-723-3059 | |
Megan Bristol, MSN, RN, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 400 S Clark St, Butte, MT 59701 Phone: 406-496-3627 | |
Jamie B. Glenn, CNM, MS Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 401 S Alabama St, Suite 1, Butte, MT 59701 Phone: 409-723-8051 Fax: 406-723-8063 |