| Tina S Brickert, CNM | |
|
2651 E Discovery Pkwy, Bloomington, IN 47408-9059 | |
| (812) 918-3400 | |
| (812) 918-5831 |
| Full Name | Tina S Brickert |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 30 Years |
| Location | 2651 E Discovery Pkwy, Bloomington, Indiana |
| 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 |
|---|---|---|---|
| 1932101573 | NPI | - | NPPES |
| 1104827633 | Other | IN | GROUP NPI NUMBER |
| 200131150 | Medicaid | IN | |
| 200377200 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 72000016A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health | Indianapolis, IN | Hospital |
| Indiana University Health Bloomington Hospital | Bloomington, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 461 |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Tina S Brickert, CNM Po Box 1557, Martinsville, IN 46151-0557 Ph: (765) 349-4600 | Tina S Brickert, CNM 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 Ph: (812) 918-3400 |
Ms. Elizabeth Ross Birch, MS, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 421 W 1st St, Bloomington, IN 47403 Phone: 812-336-0168 Fax: 812-335-7372 | |
Heather Elizabeth Kill, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-918-3400 Fax: 812-918-5829 | |
Rebekah Seda, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2613 E 3rd St, Bloomington, IN 47401 Phone: 812-219-2506 | |
Erica Divine, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-5252 | |
Mrs. Jackie Donceel Squires, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 338 S Walnut St, Bloomington, IN 47401 Phone: 812-349-7343 Fax: 812-349-7346 | |
Tenley Corrina Morris, CNM Advanced Practice Midwife Medicare: May Accept Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 317-432-8119 | |
Donna Cutshall, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2920 S Mcintire Dr, Suite 250, Bloomington, IN 47403 Phone: 812-332-9217 Fax: 812-330-4474 |