MRS. DONNA KAY LO CNM NPI 1487892287

Advanced Practice Midwife in Winston Salem, NC

Individual Female Advanced Practice Midwife PECOS Enrolled Accepts Medicare Years Experience 12

About DONNA LO

Donna Lo is a provider established in Winston Salem, North Carolina and her medical specialization is advanced practice midwife with more than 12 years of experience. The NPI number of Donna Lo is 1487892287 and was assigned on February 2009. The practitioner's primary taxonomy code is 367A00000X with license number 12825 (NC). The provider is registered as an individual and her NPI record was last updated 8 years ago. Donna Lo is enrolled in PECOS and is registered with Medicare and accepts claims assignment. According to Medicare claims data the provider has hospital affiliations with North Carolina Baptist Hospital.

NPI

1487892287

Provider NameMRS. DONNA KAY LO CNM
Provider Location Address2830 MAPLEWOOD AVE STE C WINSTON SALEM, NC 27103
Provider Mailing AddressPO BOX 344 WINSTON SALEM, NC 27102
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2008
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-02-2009
Last Update Date06-20-2012

Primary Taxonomy

Taxonomy Code367A00000X
ClassificationAdvanced Practice Midwife
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.12825
License StateNC
Taxonomy DescriptionMidwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).

Business Address

MRS. DONNA KAY LO CNM
2830 MAPLEWOOD AVE STE C
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 716-2821

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Mailing Address

MRS. DONNA KAY LO CNM
PO BOX 344
WINSTON SALEM, NC
ZIP 27102
Phone: (336) 760-2821

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare’s enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID7810042637
PECOS Enrollment IDI20090831000610
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
Part B Clinical Laboratory and ImagingYes
Durable Medical EquipmentYes
Home Health Agency (HHA)No
Power Mobility DevicesNo

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affilition the clinician must have provided services to at least three patients on three different dates in the last 12 months.

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN)
NORTH CAROLINA BAPTIST HOSPITALMEDICAL CENTER BOULEVARD
WINSTON-SALEM, NC 27157
Acute Care Hospitals340047

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
7002175MEDICAID (05)NC
2594338BMEDICARE PIN (08)NC

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.