| Jessica Marie Costa, MSN,CNM | |
|
123 3rd St Se, Massillon, OH 44646-6606 | |
| (330) 832-2229 | |
| Not Available |
| Full Name | Jessica Marie Costa |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 13 Years |
| Location | 123 3rd St Se, Massillon, Ohio |
| 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 |
|---|---|---|---|
| 1003251935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | COA.14487-NM (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wooster Clinic Llc | 6800708124 | 367 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Entity Name | Wooster Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Marie Costa, MSN,CNM 123 3rd St Se, Massillon, OH 44646-6606 Ph: (330) 832-2229 | Jessica Marie Costa, MSN,CNM 123 3rd St Se, Massillon, OH 44646-6606 Ph: (330) 832-2229 |
Mrs. Kimberly Veronica Wallace, CNM APRN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 100 Lillian Gish Blvd Sw Ste 201, Massillon, OH 44647 Phone: 330-809-0460 | |
Mrs. Nina Marie Wilson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 100 Lillian Gish Blvd Sw Ste 201, Massillon, OH 44647 Phone: 330-809-0460 Fax: 330-809-0560 |