| Cody Lee Bach, FNP-BC | |
|
780 E Washington Blvd, Crescent City, CA 95531-8397 | |
| (775) 322-4550 | |
| (775) 322-4956 |
| Full Name | Cody Lee Bach |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 780 E Washington Blvd, Crescent City, California |
| 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 |
|---|---|---|---|
| 1598319642 | NPI | - | NPPES |
| 250043773 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 898368 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Joseph Hospital | Eureka, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1461 |
| Oneill Clark Narvarte And Vicks A Professional Corporation | 2668448531 | 24 |
| Oneill Clark Narvarte And Vicks A Professional Corporation | 2668448531 | 24 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871607762 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Entity Name | Oneill Clark Narvarte & Vicks a Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962501940 PECOS PAC ID: 2668448531 Enrollment ID: O20201030000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Lee Bach, FNP-BC Po Box 92227, Las Vegas, NV 89193-2227 Ph: (775) 322-4550 | Cody Lee Bach, FNP-BC 780 E Washington Blvd, Crescent City, CA 95531-8397 Ph: (775) 322-4550 |
Carla J Transue, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1675 Northcrest Dr, Crescent City, CA 95531 Phone: 707-464-2583 |
Hiedi Wright, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 E Washington Blvd, Crescent City, CA 95531 Phone: 707-465-6925 |
Sue Ellen Risenhoover, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5905 Lake Earl Drive, Crescent City, CA 95531 Phone: 707-464-1000 |
Mrs. Kathryn A Wood, RN, PHD, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1771 Northcrest Dr, Crescent City, CA 95531 Phone: 707-465-8666 Fax: 707-465-8650 |
Brian Glass, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 E Washington Blvd, Crescent City, CA 95531 Phone: 707-460-1802 |
Melody Pope, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 E Washington Blvd, Crescent City, CA 95531 Phone: 707-465-6925 Fax: 707-465-6070 |
Mrs. Judith Anne Ramsey, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 785 E. Washington Blvd., Suite 8, Crescent City, CA 95531 Phone: 707-460-1802 Fax: 833-916-2036 |