| Ms Charleane Chantell Lacroix, CNM | |
|
1 Van Wyck Plz, Jamaica, NY 11418-2826 | |
| (718) 206-6290 | |
| Not Available |
| Full Name | Ms Charleane Chantell Lacroix |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1 Van Wyck Plz, Jamaica, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447568308 | NPI | - | NPPES |
| 00695941 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 001401 (New York) | Primary |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Charleane Chantell Lacroix, CNM 16355 Sayres Ave, Jamaica, NY 11433-3928 Ph: (718) 344-0297 | Ms Charleane Chantell Lacroix, CNM 1 Van Wyck Plz, Jamaica, NY 11418-2826 Ph: (718) 206-6290 |
Ms. Christina Rebecca Mcpherson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Jamaica, NY 11418 Phone: 718-206-6808 | |
Emma Sanger-johnson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Jamaica, NY 11418 Phone: 718-206-6000 | |
Lisa Craig, CM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Jamaica, NY 11418 Phone: 718-206-6000 | |
Lindsay Nicole Price, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 8906 135th St, Suite 6a, Jamaica, NY 11418 Phone: 718-206-6808 | |
Ms. Maria Catalina Bertani, CM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 9004 161st St, Jamaica, NY 11432 Phone: 718-523-2123 Fax: 718-523-5833 | |
Melissa Pena, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Jamaica, NY 11418 Phone: 718-206-8708 |