| Mary C Mentag, CNM | |
|
6777 W Maple Rd, West Bloomfield, MI 48322-3013 | |
| (313) 516-2725 | |
| (313) 516-2735 |
| Full Name | Mary C Mentag |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 6777 W Maple Rd, West Bloomfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801569223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 4704334986 (Michigan) | Primary |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary C Mentag, CNM 6777 W Maple Rd, West Bloomfield, MI 48322-3013 Ph: (313) 516-2725 | Mary C Mentag, CNM 6777 W Maple Rd, West Bloomfield, MI 48322-3013 Ph: (313) 516-2725 |
Allison Laura Giniel, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-1000 | |
Amy S Zimmermann, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-0100 | |
Sydney Christine Constante, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-661-6425 Fax: 248-325-0094 | |
Mrs. Dajai Dominique Scott, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-880-5838 Fax: 248-325-0021 | |
Mrs. Rhema Lee Ward, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-1000 |