| Madeline Mock Roberts, | |
|
603 E Lamar St, Americus, GA 31709-3737 | |
| (229) 928-3444 | |
| (229) 928-3446 |
| Full Name | Madeline Mock Roberts |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 603 E Lamar St, Americus, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619690112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN271855 (Georgia) | Secondary |
| 367A00000X | Advanced Practice Midwife | RN271855 (Georgia) | Primary |
| Entity Name | Careconnect Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063436624 PECOS PAC ID: 7810980794 Enrollment ID: O20040406001286 |
| Mailing Address | Practice Location Address |
|---|---|
| Madeline Mock Roberts, 603 E Lamar St, Americus, GA 31709-3737 Ph: (229) 928-3444 | Madeline Mock Roberts, 603 E Lamar St, Americus, GA 31709-3737 Ph: (229) 928-3444 |
Nichole Gordon, CNM, WHNP-BC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 603 E Lamar St, Americus, GA 31709 Phone: 229-928-3444 | |
Tiffani Nichole Barnett, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 603 E Lamar St, Americus, GA 31709 Phone: 229-928-3444 | |
Crystal N. Settle, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 603 E Lamar St, Americus, GA 31709 Phone: 229-928-3444 Fax: 229-928-3446 |