Physician Compare National (NPI:1952439507)

HEALTHCARE PROVIDER: MARY ALICE DECOURSEY CNM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1952439507
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799051041
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20171101000759
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DECOURSEY
	Individual professional last name
Provider First Name	MARY-ALICE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	CERTIFIED NURSE MIDWIFE (CNM)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	WJH PHYSICIAN SERVICES
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0941510986
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	20
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1111 MEDICAL CTR BLVD
	Group Practice or individual's line 1 address
City	MARRERO
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	700723151
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5043475511
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y