| Mrs Julia Lancaster Muckerman, CNM, MSN | |
|
777 Hospital Way, Suite 300, Pocatello, ID 83201-5175 | |
| (208) 232-6100 | |
| Not Available |
| Full Name | Mrs Julia Lancaster Muckerman |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 777 Hospital Way, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790917789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | CNM 54A (Idaho) | Primary |
| Entity Name | Better Health With Nicole Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568184174 PECOS PAC ID: 3072981430 Enrollment ID: O20221116002573 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Julia Lancaster Muckerman, CNM, MSN 777 Hospital Way, Suite 300, Pocatello, ID 83201-5175 Ph: (208) 232-6100 | Mrs Julia Lancaster Muckerman, CNM, MSN 777 Hospital Way, Suite 300, Pocatello, ID 83201-5175 Ph: (208) 232-6100 |
Sara Willis, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1350 Cedar Lake Rd, Pocatello, ID 83204 Phone: 208-201-2784 | |
Tracy Gibson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 500 S 11th Ave, Suite 402, Pocatello, ID 83201 Phone: 208-239-3412 Fax: 208-239-3441 | |
Jeanette Nicole Lamb, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 611 Wilson Ave, Ste 2, Pocatello, ID 83201 Phone: 208-261-4233 Fax: 833-471-4276 |