Mary Baracco, CNM NP is a
Advanced Practice Midwife based in Weaverville, California. Mary Baracco is licensed to practice in California (license number 1211) and her current practice location is
31 Easter Ave, Weaverville, California. She can be reached at her office (for appointments etc.) via phone at
(530) 623-4186.
NPI number for Mary Baracco is 1255429528 and her current mailing address is Po Box 154, 201 Steelhead Circle, Lewiston, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255429528.
Provider's Profile
Full Name | Mary Baracco |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 31 Easter Ave, Weaverville, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255429528
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 09/08/2016
Medical Identifiers
Medical identifiers for Mary Baracco such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255429528 | NPI | - | NPPES |
GR0081501 | Other | CA | MEDICAL |
GR0081500 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 490245 (California) | Secondary |
363L00000X | Nurse Practitioner | 8853 (California) | Secondary |
367A00000X | Advanced Practice Midwife | 1211 (California) | 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. Mary Baracco 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 |
Mary Baracco, CNM NP Po Box 154, 201 Steelhead Circle, Lewiston, CA 96052-0154 Ph: (530) 778-3354 | Mary Baracco, CNM NP 31 Easter Ave, Weaverville, CA 96093-0000 Ph: (530) 623-4186 |
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