Mrs Jackie Donceel Squires, CNM in Bloomington, IN - Advanced Practice Midwife

Mrs Jackie Donceel Squires, CNM is a Advanced Practice Midwife based in Bloomington, Indiana. Mrs Jackie Donceel Squires is licensed to practice in Indiana (license number 72000030) and her current practice location is 338 S Walnut St, Bloomington, Indiana. She can be reached at her office (for appointments etc.) via phone at (812) 349-7343.

NPI number for Mrs Jackie Donceel Squires is 1386740215 and her current mailing address is 9501 W Wolf Mountain Rd, Gosport, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386740215.

Contact Information

	Mrs Jackie Donceel Squires, CNM
	338 S Walnut St, Bloomington, IN 47401-3500
	(812) 349-7343
	(812) 349-7346

Provider's Profile

Full Name	Mrs Jackie Donceel Squires
Gender	Female
Speciality	Advanced Practice Midwife
Location	338 S Walnut St, Bloomington, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1386740215
Provider Enumeration Date: 09/16/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Jackie Donceel Squires such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386740215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	72000030 (Indiana)	Primary

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. Mrs Jackie Donceel Squires is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Jackie Donceel Squires, CNM 9501 W Wolf Mountain Rd, Gosport, IN 47433-9597 Ph: (812) 876-4151	Mrs Jackie Donceel Squires, CNM 338 S Walnut St, Bloomington, IN 47401-3500 Ph: (812) 349-7343

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Advanced Practice Midwife Nurses in Bloomington, IN

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
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
Mrs. Elizabeth Thies Mcdaniel, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1010 W 2nd St, Bloomington, IN 47403 Phone: 812-334-3955 Fax: 812-334-5792

Mrs Jackie Donceel Squires, CNM - Advanced Practice Midwife in Bloomington, IN