| Tracy Gibson, CNM | |
|
500 S 11th Ave, Suite 402, Pocatello, ID 83201-4835 | |
| (208) 239-3412 | |
| (208) 239-3441 |
| Full Name | Tracy Gibson |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 500 S 11th Ave, Pocatello, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700896685 | NPI | - | NPPES |
| 805053800 | Medicaid | ID | |
| NPYT9 | Other | ID | BLUE CROSS OF IDAHO |
| P00175232 | Other | ID | RAILROAD MEDICARE |
| 000010146389 | Other | ID | REGENCE BLUE SHIELD OF ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | CNM33 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Gibson, CNM 500 S 11th Ave, Suite 402, Pocatello, ID 83201-4835 Ph: (208) 239-3412 | Tracy Gibson, CNM 500 S 11th Ave, Suite 402, Pocatello, ID 83201-4835 Ph: (208) 239-3412 |
Sara Willis, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1350 Cedar Lake Rd, Pocatello, ID 83204 Phone: 208-201-2784 | |
Patty J Ackerman, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 777 Hospital Way Bldg A, Suite 300, Pocatello, ID 83201 Phone: 208-239-3412 Fax: 208-239-3441 | |
Mrs. Julia Lancaster Muckerman, CNM, MSN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 777 Hospital Way, Suite 300, Pocatello, ID 83201 Phone: 208-232-6100 | |
Jeanette Nicole Lamb, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1175 Call Place, Ste 100h, Pocatello, ID 83201 Phone: 208-261-4233 Fax: 833-471-4276 |