| Molly Mattick, CNM | |
|
210 Hospital Dr, Vallejo, CA 94589-2517 | |
| (707) 645-7316 | |
| Not Available |
| Full Name | Molly Mattick |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 4 Years |
| Location | 210 Hospital Dr, Vallejo, California |
| 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 |
|---|---|---|---|
| 1962180075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 10025320 (Oregon) | Primary |
| 176B00000X | Midwife | NMW236368 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 714 |
| Entity Name | Legacy Clinics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Mattick, CNM Po Box 22210, Oakland, CA 94623-2210 Ph: (510) 535-3926 | Molly Mattick, CNM 210 Hospital Dr, Vallejo, CA 94589-2517 Ph: (707) 645-7316 |
Sarah Hark Sun Hamburger, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 210 Hospital Dr, Vallejo, CA 94589 Phone: 707-645-7316 |
Anne Tracy Vosler, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Kaiser Permanente, Dept Of Ob/gyn, Vallejo, CA 94589 Phone: 707-651-2323 |
Ms. Katherine Ann Stafford, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2323 |
Jennifer N Despres, CNM, NP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |
Lisa Davis, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 120 Trident Ct, Vallejo, CA 94591 Phone: 510-862-9134 |