| Lisa A Mix, CNM | |
|
900 S Dixie Dr, Suite 40, Vandalia, OH 45377-2657 | |
| (937) 890-6644 | |
| (937) 890-1726 |
| Full Name | Lisa A Mix |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 26 Years |
| Location | 900 S Dixie Dr, Vandalia, Ohio |
| 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 |
|---|---|---|---|
| 1871559179 | NPI | - | NPPES |
| 2339704 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | NM05540 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Upper Valley Medical Center | Troy, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Health Specialists Inc | 5597708594 | 471 |
| Entity Name | Premier Health Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Mix, CNM 900 S Dixie Dr, Suite 40, Vandalia, OH 45377-2657 Ph: (937) 890-6644 | Lisa A Mix, CNM 900 S Dixie Dr, Suite 40, Vandalia, OH 45377-2657 Ph: (937) 890-6644 |
Michele R Carlson, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 900 S Dixie Dr, Suite 40, Vandalia, OH 45377 Phone: 937-890-6644 Fax: 937-890-1726 | |
Melissa M Burkhardt, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 900 S Dixie Dr, Suite 40, Vandalia, OH 45377 Phone: 937-890-6644 Fax: 937-890-1726 | |
Margaret A Mccarthy, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 900 South Dixie Dr., Suite 40, Vandalia, OH 45377 Phone: 937-890-6644 Fax: 937-890-1726 | |
Paige Short, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 680 Aviator Ct, Vandalia, OH 45377 Phone: 937-890-6644 Fax: 937-890-1726 | |
Neva Carissa Dehart, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 900 S Dixie Dr, Suite 40, Vandalia, OH 45377 Phone: 937-890-6644 Fax: 937-890-1726 | |
Regina Y'vonne Jones, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 680 Aviator Ct, Vandalia, OH 45377 Phone: 937-890-6644 |