| Leslie Stork, CNM | |
|
20 Arrowood Dr, Ithaca, NY 14850-1869 | |
| (607) 274-4322 | |
| (607) 274-4587 |
| Full Name | Leslie Stork |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 9 Years |
| Location | 20 Arrowood Dr, Ithaca, New York |
| 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 |
|---|---|---|---|
| 1255815478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 4704306112 (Michigan) | Primary |
| 176B00000X | Midwife | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bronson Methodist Hospital | 0244148633 | 721 |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| Entity Name | Bronson South Haven Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174749170 PECOS PAC ID: 6204724834 Enrollment ID: O20040305001005 |
| Entity Name | Bronson Battle Creek Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093119638 PECOS PAC ID: 0547173478 Enrollment ID: O20041103000774 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Stork, CNM 20 Arrowood Dr, Ithaca, NY 14850-1869 Ph: Not Available | Leslie Stork, CNM 20 Arrowood Dr, Ithaca, NY 14850-1869 Ph: (607) 274-4322 |
Althea Blodgett-gallahan, RN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 20 Arrowood Dr, Ithaca, NY 14850 Phone: 607-266-7800 |
Anna Ritter, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4408 |
Samantha Marie Sloan, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 20 Arrowood Dr, Ithaca, NY 14850 Phone: 607-266-7800 |