| Shannon Waller Davis, CNM | |
|
1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 | |
| (314) 977-7455 | |
| Not Available |
| Full Name | Shannon Waller Davis |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 11 Years |
| Location | 1031 Bellevue Ave Ste 400, Saint Louis, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063884799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | (Illinois) | Secondary |
| 367A00000X | Advanced Practice Midwife | 2018010192 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Heartland Women's Healthcare Ltd | 1759270648 | 31 |
| Entity Name | Heartland Women's Healthcare Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851307532 PECOS PAC ID: 1759270648 Enrollment ID: O20040310001225 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Waller Davis, CNM 6420 Clayton Rd Ste 290, Saint Louis, MO 63117-1811 Ph: (314) 781-8605 | Shannon Waller Davis, CNM 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 Ph: (314) 977-7455 |
Ms. Kathleen Marino Goodwin, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Old Maternity Building, Saint Louis, MO 63110 Phone: 314-454-7882 Fax: 314-454-5167 | |
Ms. Sandra L Forney, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4901 Forest Park Ave, Ste 341, Saint Louis, MO 63108 Phone: 314-454-7882 Fax: 314-454-5167 | |
Mrs. Jessica Ruth Zito, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 615 S New Ballas Rd, Saint Louis, MO 63141 Phone: 314-251-6000 | |
Lyndsay Audra Mignon Duffe, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 8888 Ladue Rd Ste 220, Saint Louis, MO 63124 Phone: 314-644-3336 | |
Heather Marie Crawford, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 615 S New Ballas Rd, Saint Louis, MO 63141 Phone: 314-251-6092 | |
Ms. Caitlin Elizabeth Bley, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4901 Forest Park Ave, Dept Obgyn, Ste 341, Saint Louis, MO 63108 Phone: 314-454-7882 Fax: 314-454-5167 |