Mary M Mcnicholas, CNM MSN is a
Advanced Practice Midwife based in Sun Prairie, Wisconsin. Mary M Mcnicholas is licensed to practice in Wisconsin (license number 129427) and her current practice location is
10 Tower Dr, Sun Prairie, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 825-3008.
NPI number for Mary M Mcnicholas is 1427025113 and her current mailing address is 10 Tower Dr, Sun Prairie, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427025113.
Provider's Profile
| Full Name | Mary M Mcnicholas |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
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| Location | 10 Tower Dr, Sun Prairie, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427025113
- Provider Enumeration Date: 03/02/2006
- Last Update Date: 06/08/2011
Medical Identifiers
Medical identifiers for Mary M Mcnicholas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427025113 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 129427 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary M Mcnicholas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary M Mcnicholas, CNM MSN
10 Tower Dr,
Sun Prairie, WI 53590-1239
Ph: (608) 825-3008 | Mary M Mcnicholas, CNM MSN
10 Tower Dr,
Sun Prairie, WI 53590-1239
Ph: (608) 825-3008 |
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