| Paula Marin, CNM | |
|
1200 W State St, Rockford, IL 61102-2112 | |
| (815) 490-1600 | |
| (815) 490-1881 |
| Full Name | Paula Marin |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1200 W State St, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235847724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
| Entity Name | Crusaders Central Clinic Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902972557 PECOS PAC ID: 5799682993 Enrollment ID: O20031216000642 |
| Mailing Address | Practice Location Address |
|---|---|
| Paula Marin, CNM 1200 W State St, Rockford, IL 61102-2112 Ph: (815) 490-1600 | Paula Marin, CNM 1200 W State St, Rockford, IL 61102-2112 Ph: (815) 490-1600 |
Mary S Mather, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 5970 Churchview Dr, Rockford, IL 61107 Phone: 815-971-2000 | |
Jennifer Oerkfitz, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1485 | |
Mrs. Renee Lynn Keeney, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1200 W. State Street, Crusader Community Health, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1485 | |
Deborah Wodell, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Dana Hoffman, C.N.M. Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1485 | |
Abbey Jacobson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 |