Tracey L Busby, MD | |
100 Hospital Drive, Suite 105, Ketchum, ID 83340-0000 | |
(208) 622-8811 | |
(208) 622-6921 |
Full Name | Tracey L Busby |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 31 Years |
Location | 100 Hospital Drive, Ketchum, Idaho |
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 |
---|---|---|---|
1124072251 | NPI | - | NPPES |
003576900 | Medicaid | ID | |
P00659676 | Other | ID | MCRR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M7014 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic - Wood River Llc | 3173783818 | 54 |
Entity Name | St Lukes Clinic - Wood River Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
Mailing Address | Practice Location Address |
---|---|
Tracey L Busby, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Tracey L Busby, MD 100 Hospital Drive, Suite 105, Ketchum, ID 83340-0000 Ph: (208) 622-8811 |
Nancy Parry Md., Pc, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Box 2359, Ketchum, ID 83340 Phone: 208-622-3180 Fax: 208-622-3190 | |
Randall T Hermann, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 208 Spruce St ., Ketchum, ID 83340 Phone: 208-726-9781 Fax: 208-726-1377 | |
Kathleen Egan Haisley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Drive, Ketchum, ID 83340 Phone: 208-727-8100 |