| Marta Robin Brace, CNM | |
|
1715 Dousman St, Green Bay, WI 54303-3211 | |
| (920) 496-4700 | |
| (920) 496-4705 |
| Full Name | Marta Robin Brace |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1715 Dousman St, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386669497 | NPI | - | NPPES |
| 39905200 | Medicaid | WI |
| Entity Name | Prevea Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034 |
| Entity Name | Oneida Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740278308 PECOS PAC ID: 6800794074 Enrollment ID: O20031224000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Marta Robin Brace, CNM Po Box 19070, Prevea Health, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | Marta Robin Brace, CNM 1715 Dousman St, Green Bay, WI 54303-3211 Ph: (920) 496-4700 |
Renee R Smith, CNM,APNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 720 S Vanburen St, Suite 101, Green Bay, WI 54301 Phone: 920-433-3420 Fax: 920-338-6859 | |
Kelly E O'connor, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1860 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Nylene Brittain, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2641 Development Dr, Green Bay, WI 54311 Phone: 920-338-6868 Fax: 920-338-6969 | |
Angela M Walker, CNM, APNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 720 S Vanburen St, Green Bay, WI 54301 Phone: 920-468-3444 Fax: 920-432-6313 | |
Mary Katherine Williams, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1715 Dousman St, Green Bay, WI 54303 Phone: 920-496-4700 | |
Natalie Larson, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1715 Dousman St, Green Bay, WI 54303 Phone: 920-496-4700 | |
Erin Joanne Broda, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 |