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

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



Provider's Profile

Full NameTeresa Willie
GenderFemale
SpecialityCertified Nurse Midwife (cnm)
Experience28 Years
LocationCorner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1417008541NPI-NPPES
CNM179OtherNCLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife CNM179 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Crownpoint Phs Indian HospitalCrownpoint, NMHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dhhs Phs Naihs Crownpoint Hospital014312804137

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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 NameDhhs Phs Naihs Crownpoint Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114960093
PECOS PAC ID: 0143128041
Enrollment ID: O20031230000393

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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 AddressPractice 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

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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    

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