| Kerrie Lynn Decastro, CNM | |
|
580 N Camino Mercado Ste 8, Casa Grande, AZ 85122-5757 | |
| (520) 836-3446 | |
| Not Available |
| Full Name | Kerrie Lynn Decastro |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 580 N Camino Mercado Ste 8, Casa Grande, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275358525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 315170 (Arizona) | Primary |
| Entity Name | Sun Life Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891913166 PECOS PAC ID: 9335032275 Enrollment ID: O20040205000085 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerrie Lynn Decastro, CNM 19509 E Walnut Rd, Queen Creek, AZ 85142-6229 Ph: (623) 237-1534 | Kerrie Lynn Decastro, CNM 580 N Camino Mercado Ste 8, Casa Grande, AZ 85122-5757 Ph: (520) 836-3446 |
Melissa Marie Andersson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 580 N Camino Mercado Ste 8, Casa Grande, AZ 85122 Phone: 520-381-0380 | |
Genessis Lizeth Cardenas, CNM Advanced Practice Midwife Medicare: May Accept Medicare Assignments Practice Location: 580 N Camino Mercado Ste 8, Casa Grande, AZ 85122 Phone: 520-381-0380 Fax: 520-836-1826 |