Desiree M Hericks, CNM | |
201 Ridge St Ste 312, Council Bluffs, IA 51503-4643 | |
(712) 396-7880 | |
(712) 396-7885 |
Full Name | Desiree M Hericks |
---|---|
Gender | Female |
Speciality | Certified Nurse Midwife (cnm) |
Experience | 9 Years |
Location | 201 Ridge St Ste 312, Council Bluffs, Iowa |
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 |
---|---|---|---|
1437523479 | NPI | - | NPPES |
10026211300 | Medicaid | NE | |
10026480117 | Medicaid | NE | |
1437523479 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | B142120 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Jennie Edmundson | Council bluffs, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physicians Clinic Inc | 4880506062 | 497 |
Physicians Clinic Inc | 4880506062 | 497 |
Entity Name | Physicians Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20031105000345 |
Mailing Address | Practice Location Address |
---|---|
Desiree M Hericks, CNM Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100 | Desiree M Hericks, CNM 201 Ridge St Ste 312, Council Bluffs, IA 51503-4643 Ph: (712) 396-7880 |
Mrs. Nicole Marie Josselyn, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 162 Glen Ave, Council Bluffs, IA 51503 Phone: 712-256-9989 Fax: 712-256-9989 | |
Casie I Dorr, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 800 Mercy Dr, Suite 110, Council Bluffs, IA 51503 Phone: 712-388-2860 Fax: 712-388-2838 |