| Mica Ayana Alexander, CNM | |
|
100 Medical Center Dr, Springfield, OH 45504-2687 | |
| (937) 523-1000 | |
| (937) 399-7355 |
| Full Name | Mica Ayana Alexander |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 100 Medical Center Dr, Springfield, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215320874 | NPI | - | NPPES |
| 0217023 | Medicaid | OH | |
| RN245131 | Other | GA | LICENSE |
| H588330 | Other | OH | MEDICARE OPG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | RN245131 (Georgia) | Secondary |
| 367A00000X | Advanced Practice Midwife | APRN.CNM.15882 (Ohio) | Primary |
| Entity Name | Dourron Ob/gyn Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255525853 PECOS PAC ID: 0840373429 Enrollment ID: O20080206000402 |
| Mailing Address | Practice Location Address |
|---|---|
| Mica Ayana Alexander, CNM 100 Medical Center Dr, Springfield, OH 45504-2687 Ph: (937) 523-1000 | Mica Ayana Alexander, CNM 100 Medical Center Dr, Springfield, OH 45504-2687 Ph: (937) 523-1000 |
Mrs. Bethany Leigh Wayt, RNC, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1108 Vester Ave, Springfield, OH 45503 Phone: 937-399-7100 | |
Anne Erickson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 30 W Mccreight Ave, Suite 209, Springfield, OH 45504 Phone: 937-399-6922 | |
Mary Kilianski, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 100 Medical Center Dr, Springfield, OH 45504 Phone: 937-523-1000 Fax: 937-399-7355 |