| Jessica Ann Ellis, CNM | |
|
2525 E Broadway St, Ste 204, Helena, MT 59601-8049 | |
| (406) 457-4366 | |
| (406) 457-4367 |
| Full Name | Jessica Ann Ellis |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 2525 E Broadway St, Helena, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831497353 | NPI | - | NPPES |
| 326666 | Other | GA | GEORGIA LICENSE |
| 39957 | Other | MT | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | (NU) | Primary |
| 176B00000X | Midwife | (NU) | Secondary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Entity Name | University of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Ann Ellis, CNM 227 Riverstone Dr, Canton, GA 30114-5256 Ph: (770) 720-7733 | Jessica Ann Ellis, CNM 2525 E Broadway St, Ste 204, Helena, MT 59601-8049 Ph: (406) 457-4366 |
Josephine Nicole Koeshall, CNM, WHNP Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2560 Tracy Drive, Helena, MT 59601 Phone: 406-442-1914 |
Susan Jean Ditchey-hellems, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 45 Medical Park Dr, Helena, MT 59601 Phone: 406-442-1914 Fax: 406-443-2901 |
Mrs. Tiffany Erin Robinson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1311 11th Ave, Helena, MT 59601 Phone: 406-465-8330 |