| Latonia Feagin, CNM | |
|
770 Balgreen Dr Ste 207, Mansfield, OH 44906-4106 | |
| (419) 522-6800 | |
| Not Available |
| Full Name | Latonia Feagin |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 770 Balgreen Dr Ste 207, Mansfield, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285118422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | APRN.CNM.019379 (Ohio) | Primary |
| Entity Name | Third Street Community Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649599119 PECOS PAC ID: 2365423977 Enrollment ID: O20040528000770 |
| Entity Name | Pediatrix Medical Group Of Ohio Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467559179 PECOS PAC ID: 2365672730 Enrollment ID: O20140304000984 |
| Entity Name | Third Street Community Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306499314 PECOS PAC ID: 2365423977 Enrollment ID: O20200420003356 |
| Entity Name | Third Street Community Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629620109 PECOS PAC ID: 2365423977 Enrollment ID: O20200520001554 |
| Mailing Address | Practice Location Address |
|---|---|
| Latonia Feagin, CNM 1711 Alcoy Dr, Columbus, OH 43227-3309 Ph: (614) 955-0090 | Latonia Feagin, CNM 770 Balgreen Dr Ste 207, Mansfield, OH 44906-4106 Ph: (419) 522-6800 |
Casey Britton, APRN-CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 335 Glessner Ave Fl 2, Mansfield, OH 44903 Phone: 567-241-7055 Fax: 567-241-7565 |