| Melissa R Peterson, CNM | |
| 
					1760 E Pecos Rd, Suite 516, Gilbert, AZ 85295-3200  | |
| (480) 814-1910 | |
| (480) 857-2667 | 
| Full Name | Melissa R Peterson | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 1760 E Pecos Rd, Gilbert, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013280296 | NPI | - | NPPES | 
| 697276 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | AP4400 (Arizona) | Primary | 
| Entity Name | Momdoc Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184780355 PECOS PAC ID: 3375534282 Enrollment ID: O20040520000050  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Melissa R Peterson, CNM Po Box 6730, Chandler, AZ 85246-6730 Ph: (480) 821-3600  | Melissa R Peterson, CNM 1760 E Pecos Rd, Suite 516, Gilbert, AZ 85295-3200 Ph: (480) 814-1910  | 
Mallorie Estelle Resendez Bassetti, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3530 S Val Vista Dr Ste A111, Gilbert, AZ 85297 Phone: 480-818-9530 Fax: 833-963-2174  | |
Janice Louise Bovee, CNM MSN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3815 S. Val Vista Drive, Gilbert, AZ 85297 Phone: 480-782-0993 Fax: 855-329-8939  | |
Kelley Hazel, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3530 S Val Vista Dr Ste 203, Gilbert, AZ 85297 Phone: 480-917-6480 Fax: 480-857-2667  | |
Kelly Jo Plencner-vega, MSN,CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 Phone: 480-782-0993 Fax: 855-329-8939  | |
Beth Harpenau, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3815 S Val Vista Dr, Gilbert, AZ 85297 Phone: 480-782-0993  | |
Brittan Hosner, CNM, WHNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1760 E Pecos Rd Ste 516, Gilbert, AZ 85295 Phone: 480-821-3600 Fax: 480-821-3628  |