| Ms Mary M Weisbrod, CNM | |
|
400 Highland Ave, Lewistown, PA 17044-1167 | |
| (717) 242-4200 | |
| (717) 242-4212 |
| Full Name | Ms Mary M Weisbrod |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 400 Highland Ave, Lewistown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265486377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | MW008563L (Pennsylvania) | Primary |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Guthrie Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962451153 PECOS PAC ID: 6002728656 Enrollment ID: O20040301000571 |
| Entity Name | Evangelical Medical Services Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205928967 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mary M Weisbrod, CNM 100 N Academy Ave, Danville, PA 17822-3034 Ph: (570) 271-6144 | Ms Mary M Weisbrod, CNM 400 Highland Ave, Lewistown, PA 17044-1167 Ph: (717) 242-4200 |
Kathryn Louise Jeziorski, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 400 Highland Ave, Lewistown, PA 17044 Phone: 717-242-4200 Fax: 717-242-4212 | |
Ms. Barbara H. Miller, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 130 Highland Ave, Lewistown, PA 17044 Phone: 717-247-7918 Fax: 717-247-7939 | |
Mary Ruth Habashy, CRNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 400 Highland Avenue, Lewistown, PA 17044 Phone: 717-248-5411 |