Teresa Willie, CNM in Fort Defiance, AZ - Medicare Certified Nurse Midwife (cnm)

Teresa Willie, CNM is a medicare enrolled "Advanced Practice Midwife" in Fort Defiance, Arizona. She graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Dhhs Phs Naihs Crownpoint Hospital and her current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 729-8000.

Teresa Willie is licensed to practice in North Carolina (license number CNM179) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417008541.

Contact Information

	Teresa Willie, CNM
	Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649
	(928) 729-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Teresa Willie
Gender	Female
Speciality	Certified Nurse Midwife (cnm)
Experience	28 Years
Location	Corner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Teresa Willie graduated from nursing school in 1996

NPI Data:

NPI Number: 1417008541
Provider Enumeration Date: 01/16/2007
Last Update Date: 09/22/2011

Medicare PECOS Information:

PECOS PAC ID: 8426041088
Enrollment ID: I20040407001473

Medical Identifiers

Medical identifiers for Teresa Willie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417008541	NPI	-	NPPES
CNM179	Other	NC	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	CNM179 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Crownpoint Phs Indian Hospital	Crownpoint, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dhhs Phs Naihs Crownpoint Hospital	0143128041	37

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Teresa Willie allows following entities to bill medicare on her behalf.

Entity Name	Dhhs Phs Naihs Crownpoint Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teresa Willie is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Teresa Willie, CNM Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000	Teresa Willie, CNM Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000

Reviews and Comments

Advanced Practice Midwife Nurses in Fort Defiance, AZ

Brigette Mastel, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Linda R Barnes, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance Indian Hospital, Inc, Fort Defiance, AZ 86504 Phone: 928-729-8798
Dana Claire Brewer, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Ms. Courtney Cathleen Steer-massaro, C.N.M., F.N.P.-C. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Carol Mcconnell Stout, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: Corner Of Rt N12 And Rt N 7, Fort Defiance, AZ 86504 Phone: 928-729-8798 Fax: 928-729-8794
Ms. Dorothy Hazel Mora, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8770
Ms. Anne Madsen, C.N.M. Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8797

Teresa Willie, CNM - Medicare Certified Nurse Midwife (cnm) in Fort Defiance, AZ