Mrs Jackie Donceel Squires, CNM - Advanced Practice Midwife in Bloomington, IN

Mrs Jackie Donceel Squires, CNM is a Advanced Practice Midwife based in Bloomington, Indiana. Mrs Jackie Donceel Squires is licensed to practice in Indiana (license number 72000030) and her current practice location is 338 S Walnut St, Bloomington, Indiana. She can be reached at her office (for appointments etc.) via phone at (812) 349-7343.

NPI number for Mrs Jackie Donceel Squires is 1386740215 and her current mailing address is 9501 W Wolf Mountain Rd, Gosport, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386740215.

Contact Information

Mrs Jackie Donceel Squires, CNM
338 S Walnut St,
Bloomington, IN 47401-3500
(812) 349-7343
(812) 349-7346

Map and Direction




Provider's Profile

Full NameMrs Jackie Donceel Squires
GenderFemale
SpecialityAdvanced Practice Midwife
Location338 S Walnut St, Bloomington, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386740215
  • Provider Enumeration Date: 09/16/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Jackie Donceel Squires such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386740215NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 72000030 (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jackie Donceel Squires is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jackie Donceel Squires, CNM
9501 W Wolf Mountain Rd,
Gosport, IN 47433-9597

Ph: (812) 876-4151
Mrs Jackie Donceel Squires, CNM
338 S Walnut St,
Bloomington, IN 47401-3500

Ph: (812) 349-7343

Reviews and Comments


Advanced Practice Midwife Nurses in Bloomington, IN

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Heather Elizabeth Kill, CNM
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Rebekah Seda, CNM
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Practice Location: 2613 E 3rd St, Bloomington, IN 47401
Phone: 812-219-2506    
Donna Cutshall, CNM
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Medicare: Accepting Medicare Assignments
Practice Location: 2920 S Mcintire Dr, Suite 250, Bloomington, IN 47403
Phone: 812-332-9217    Fax: 812-330-4474
Mrs. Elizabeth Thies Mcdaniel, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1010 W 2nd St, Bloomington, IN 47403
Phone: 812-334-3955    Fax: 812-334-5792

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.