| Jennifer Lynn Matherly, CNM | |
|
4351 E Lohman Ave Ste 401, Las Cruces, NM 88011-8261 | |
| (575) 522-4767 | |
| (575) 522-3607 |
| Full Name | Jennifer Lynn Matherly |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 4351 E Lohman Ave Ste 401, Las Cruces, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063844017 | NPI | - | NPPES |
| 42876826 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 663 (New Mexico) | Primary |
| Entity Name | Las Cruces Physician Practices, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093947491 PECOS PAC ID: 7618974858 Enrollment ID: O20061031000215 |
| Entity Name | Las Cruces Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215079678 PECOS PAC ID: 8224122759 Enrollment ID: O20070914000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lynn Matherly, CNM 4351 E Lohman Ave Ste 401, Las Cruces, NM 88011-8261 Ph: (575) 522-4767 | Jennifer Lynn Matherly, CNM 4351 E Lohman Ave Ste 401, Las Cruces, NM 88011-8261 Ph: (575) 522-4767 |
Elissa Marie Barfoot, CNM, FNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 4672 N Sonoma Ranch Blvd Ste A, Las Cruces, NM 88011 Phone: 575-556-1879 Fax: 575-556-1880 | |
Mrs. Lori R Beale, C.N.M, M.S.N. Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2100 S Triviz Dr, Suite H, Las Cruces, NM 88001 Phone: 575-522-9793 Fax: 575-532-9019 | |
Shae M Pallares, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 4351 E Lohman Ave Ste 402, Las Cruces, NM 88011 Phone: 575-522-4767 | |
Ms. Mona Rae Waugh, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 385 Calle De Alegra Bldg C, Las Cruces, NM 88005 Phone: 575-556-8200 Fax: 575-521-7199 | |
Ms. Martina Jasmin Granado, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 385 Calle De Alegra Bldg C, Las Cruces, NM 88005 Phone: 575-556-8200 Fax: 575-521-7199 | |
Anna Louise White, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 385 Calle De Alegra Bldg C, Las Cruces, NM 88005 Phone: 575-556-8200 Fax: 575-521-7199 |