Katheryn Elisabeth Clark, CNM | |
330 Barclay Ave Ne Ste 304, Grand Rapids, MI 49503-2527 | |
(616) 391-2160 | |
Not Available |
Full Name | Katheryn Elisabeth Clark |
---|---|
Gender | Female |
Speciality | Certified Nurse Midwife (cnm) |
Experience | 8 Years |
Location | 330 Barclay Ave Ne Ste 304, Grand Rapids, Michigan |
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 |
---|---|---|---|
1417489931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 4704328067 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spectrum Health | Grand rapids, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spectrum Health Hospitals | 8921904764 | 131 |
Entity Name | Ascension Medical Group Promed |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
Entity Name | Spectrum Health Hospitals |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558407189 PECOS PAC ID: 8921904764 Enrollment ID: O20040120000997 |
Entity Name | Family Health Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811065576 PECOS PAC ID: 1759370216 Enrollment ID: O20040510000899 |
Mailing Address | Practice Location Address |
---|---|
Katheryn Elisabeth Clark, CNM 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Katheryn Elisabeth Clark, CNM 330 Barclay Ave Ne Ste 304, Grand Rapids, MI 49503-2527 Ph: (616) 391-2160 |
Courtney Tamburello Hilbert, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc020, Grand Rapids, MI 49503 Phone: 616-391-2160 | |
Jennifer Marie Shanley, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 426 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3302 | |
Carolyn E Leja, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne # Mc020, Grand Rapids, MI 49503 Phone: 616-391-1751 | |
Mariel Christine Haverdink, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 80 68th St Se Ste 301, Grand Rapids, MI 49548 Phone: 616-391-3302 | |
Erin Irwin, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-2160 | |
Laurel Patricia Jessup, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc027, Grand Rapids, MI 49503 Phone: 616-391-2160 | |
Renee M Bates, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Mc 020, Grand Rapids, MI 49503 Phone: 616-391-1751 Fax: 616-391-2310 |