| Neva Carissa Dehart, CNM | |
|
900 S Dixie Dr, Suite 40, Vandalia, OH 45377-2657 | |
| (937) 890-6644 | |
| (937) 890-1726 |
| Full Name | Neva Carissa Dehart |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 900 S Dixie Dr, Vandalia, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851671457 | NPI | - | NPPES |
| 0054024 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | COA.12498-NM (Ohio) | Primary |
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | COA.12421-NP (Ohio) | Secondary |
| Entity Name | Premier Health Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Neva Carissa Dehart, CNM 900 S Dixie Dr, Suite 40, Vandalia, OH 45377-2657 Ph: (937) 890-6644 | Neva Carissa Dehart, CNM 900 S Dixie Dr, Suite 40, Vandalia, OH 45377-2657 Ph: (937) 890-6644 |
Michele R Carlson, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 900 S Dixie Dr, Suite 40, Vandalia, OH 45377 Phone: 937-890-6644 Fax: 937-890-1726 | |
Melissa M Burkhardt, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 900 S Dixie Dr, Suite 40, Vandalia, OH 45377 Phone: 937-890-6644 Fax: 937-890-1726 | |
Margaret A Mccarthy, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 900 South Dixie Dr., Suite 40, Vandalia, OH 45377 Phone: 937-890-6644 Fax: 937-890-1726 | |
Paige Short, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 680 Aviator Ct, Vandalia, OH 45377 Phone: 937-890-6644 Fax: 937-890-1726 | |
Regina Y'vonne Jones, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 680 Aviator Ct, Vandalia, OH 45377 Phone: 937-890-6644 | |
Lisa A Mix, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 900 S Dixie Dr, Suite 40, Vandalia, OH 45377 Phone: 937-890-6644 Fax: 937-890-1726 |