| Katherine Woodall, CNM | |
|
85 Herrick St, Beverly, MA 01915 | |
| (978) 927-7880 | |
| (978) 524-6082 |
| Full Name | Katherine Woodall |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 85 Herrick St, Beverly, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124567680 | NPI | - | NPPES |
| 110143501A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | RN2324394 (Massachusetts) | Primary |
| 367A00000X | Advanced Practice Midwife | 638 (North Carolina) | Secondary |
| Entity Name | Internal Medical Associates-ebnhc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 |
| Entity Name | East Boston Neighborhood Health Center Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316994411 PECOS PAC ID: 9032356050 Enrollment ID: O20130513000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Woodall, CNM 85 Herrick St, Beverly, MA 01915-1790 Ph: (978) 927-7880 | Katherine Woodall, CNM 85 Herrick St, Beverly, MA 01915 Ph: (978) 927-7880 |
Mrs. Karen Catherine Carney, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-927-7880 | |
Ms. Reina Marie Dastous, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-927-7880 Fax: 978-524-6082 | |
Lisa Ellen Thibodeau, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 85 Herrick St, North Shore Birth Center, Beverly, MA 01915 Phone: 978-927-7880 Fax: 978-524-6082 | |
Liza Capodilupo, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-927-7880 | |
Eva Wax, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: Beverly Hospital, 85 Herrick Street, Beverly, MA 01915 Phone: 978-927-7880 | |
Ms. Linda Anne Theresa L'abbe, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-927-7880 Fax: 978-524-6082 |