| Jennifer Ting, CNM | |
|
101 S Wall St, Carbondale, IL 62901-3021 | |
| (618) 519-9200 | |
| (618) 519-9404 |
| Full Name | Jennifer Ting |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 101 S Wall St, Carbondale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912687336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209.027857 (Illinois) | Primary |
| Entity Name | Shawnee Health Service And Development Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454 |
| Entity Name | Rural Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982666384 PECOS PAC ID: 6800705427 Enrollment ID: O20040518000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Ting, CNM 109 California St, Po Box 577, Carterville, IL 62918 Ph: (618) 519-9200 | Jennifer Ting, CNM 101 S Wall St, Carbondale, IL 62901-3021 Ph: (618) 519-9200 |
Megan Walker, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 101 S Wall St, Carbondale, IL 62901 Phone: 618-519-9200 | |
Gayla Joy Wayman, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 202 W Jackson St, Carbondale, IL 62901 Phone: 618-457-0465 Fax: 618-457-8022 | |
Mrs. Elizabeth Anne Jolliff, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 101 S Wall St, Carbondale, IL 62901 Phone: 618-519-9200 Fax: 618-519-9404 | |
Erin Leigh Etheridge-bagley, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 900 E Walnut St Ste 10, Carbondale, IL 62901 Phone: 618-997-5266 | |
Rachael Wernsman, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 101 S Wall St, Carbondale, IL 62901 Phone: 618-519-9200 Fax: 618-519-9961 | |
Mrs. Jennifer Marie Shopinski, APN, CNM, IBCLC Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 202 W Jackson St, Carbondale, IL 62901 Phone: 618-457-0465 Fax: 618-457-8022 |