| Miss Michelle Elaine Brong, CNM | |
|
1300 Hospital Dr Ste 270, Mount Pleasant, SC 29464-3244 | |
| (843) 818-1123 | |
| Not Available |
| Full Name | Miss Michelle Elaine Brong |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1300 Hospital Dr Ste 270, Mount Pleasant, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255931465 | NPI | - | NPPES |
| MW0294 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 24320 (South Carolina) | Primary |
| Entity Name | Prisma Health Medical Group-midlands |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Michelle Elaine Brong, CNM 1300 Hospital Dr Ste 200, Mount Pleasant, SC 29464-3208 Ph: (832) 818-1123 | Miss Michelle Elaine Brong, CNM 1300 Hospital Dr Ste 270, Mount Pleasant, SC 29464-3244 Ph: (843) 818-1123 |
Dr. Emily Kathryn Waller, DNP, CNM, WHNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1300 Hospital Dr Ste 270, Mount Pleasant, SC 29464 Phone: 843-818-1123 | |
Erin Marie Stein, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1300 Hospital Dr Ste 270, Mount Pleasant, SC 29464 Phone: 843-818-1123 Fax: 843-818-1126 | |
Chelsey Mackenzie, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1300 Hospital Dr Ste 270, Mount Pleasant, SC 29464 Phone: 843-818-1123 |