| Mrs Tracy Mcdougall, CNM | |
|
3660 W Bethany Home Rd, Suite A, Phoenix, AZ 85019-1953 | |
| (602) 973-3200 | |
| (602) 795-3714 |
| Full Name | Mrs Tracy Mcdougall |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 3660 W Bethany Home Rd, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326461435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | AP5344 (Arizona) | Primary |
| Entity Name | Bethany Womens Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104863588 PECOS PAC ID: 0446142178 Enrollment ID: O20040327000089 |
| Entity Name | Sjhmc Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326098005 PECOS PAC ID: 4486646197 Enrollment ID: O20040401001189 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tracy Mcdougall, CNM 3660 W Bethany Home Rd, Suite A, Phoenix, AZ 85019-1953 Ph: (602) 973-3200 | Mrs Tracy Mcdougall, CNM 3660 W Bethany Home Rd, Suite A, Phoenix, AZ 85019-1953 Ph: (602) 973-3200 |
Jenasee Loretta South, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1300 N 12th St Ste 620, Phoenix, AZ 85006 Phone: 602-283-3668 Fax: 833-471-4382 |
Mrs. Anna M Gomez, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2928 N 18th Pl, Phoenix, AZ 85016 Phone: 602-256-7766 Fax: 602-265-6644 |
Donna Tash, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 500 W Thomas Rd Ste 720&730, Phoenix, AZ 85013 Phone: 602-406-3715 Fax: 602-406-4011 |
Ms. Lorena Patricia Cavazos, C.N.M. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 635 E. Baseline Rd., Phoenix, AZ 85042 Phone: 602-243-7277 Fax: 602-243-1235 |
Makenzie Bailey, CNM, WHNP-BC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1300 N 12th St Ste 620, Phoenix, AZ 85006 Phone: 602-283-3668 Fax: 833-471-4328 |
Jane N Wilson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th St, Ob/gyn Department, Phoenix, AZ 85016 Phone: 602-263-1200 Fax: 602-263-1692 |
Ms. Melissa Sue Christenson, CNM, WHNP-BC Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6707 N 19th Ave Ste 222, Phoenix, AZ 85015 Phone: 602-283-3668 Fax: 877-977-9438 |