| Mary Victorious, CNM | |
|
143 North St Ste 2, Auburn, NY 13021-1852 | |
| (315) 252-5028 | |
| (315) 252-1587 |
| Full Name | Mary Victorious |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 2 Years |
| Location | 143 North St Ste 2, Auburn, New York |
| 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 |
|---|---|---|---|
| 1255942017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 795713 (New York) | Secondary |
| 367A00000X | Advanced Practice Midwife | 002322 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Ob/gyn Associates | 9133117740 | 32 |
| Entity Name | University Ob/gyn Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235170150 PECOS PAC ID: 9133117740 Enrollment ID: O20040503001562 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Victorious, CNM 17 Lansing St, Auburn, NY 13021-1983 Ph: (315) 255-7011 | Mary Victorious, CNM 143 North St Ste 2, Auburn, NY 13021-1852 Ph: (315) 252-5028 |
Marjoria Marie Tracy, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 143 North St, Suite #4, Auburn, NY 13021 Phone: 315-252-5028 Fax: 315-252-5028 | |
Meghan B. Baier, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 143 North St, Suite #4, Auburn, NY 13021 Phone: 315-252-5028 Fax: 315-252-1587 | |
Martha F. Linder, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 143 North Street, Suite #4, D/b/a Auburn Obstetrics & Gynecology, Auburn, NY 13021 Phone: 315-252-5028 Fax: 315-252-1587 |