| Sara Willis, | |
|
1350 Cedar Lake Rd, Pocatello, ID 83204-4946 | |
| (208) 201-2784 | |
| Not Available |
| Full Name | Sara Willis |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 4 Years |
| Location | 1350 Cedar Lake Rd, Pocatello, Idaho |
| 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 |
|---|---|---|---|
| 1346997582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 55396 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bingham Memorial Hospital | Blackfoot, ID | Hospital |
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bmh Inc | 8426149758 | 124 |
| Entity Name | Bmh Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255539193 PECOS PAC ID: 8426149758 Enrollment ID: O20071018000897 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Willis, 1350 Cedar Lake Rd, Pocatello, ID 83204-4946 Ph: () - | Sara Willis, 1350 Cedar Lake Rd, Pocatello, ID 83204-4946 Ph: (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 | |
Mrs. Julia Lancaster Muckerman, CNM, MSN Advanced Practice Midwife Medicare: Medicare Enrolled 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: 611 Wilson Ave, Ste 2, Pocatello, ID 83201 Phone: 208-261-4233 Fax: 833-471-4276 |