| Mrs Trisha Lynn Farrell, CNM, WHNP, MS | |
|
955 S Bailey Ave Ste 200, South Haven, MI 49090-6743 | |
| (269) 639-2720 | |
| Not Available |
| Full Name | Mrs Trisha Lynn Farrell |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 955 S Bailey Ave Ste 200, South Haven, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275508632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 4704176647 (Michigan) | Secondary |
| 367A00000X | Advanced Practice Midwife | 4704176647 (Michigan) | Primary |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| Entity Name | Ascension Medical Group Promed |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
| Entity Name | Bronson South Haven Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174749170 PECOS PAC ID: 6204724834 Enrollment ID: O20040305001005 |
| Entity Name | Bronson Battle Creek Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093119638 PECOS PAC ID: 0547173478 Enrollment ID: O20041103000774 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Trisha Lynn Farrell, CNM, WHNP, MS 1020 11th Ave, Uss Red Rover Building 1523, Great Lakes, IL 60088-3102 Ph: (847) 688-5568 | Mrs Trisha Lynn Farrell, CNM, WHNP, MS 955 S Bailey Ave Ste 200, South Haven, MI 49090-6743 Ph: (269) 639-2720 |