| Stephanie Gotcher, CNM | |
|
19701 Kingwood Dr Bldg 5, Kingwood, TX 77339-3773 | |
| (281) 319-8101 | |
| Not Available |
| Full Name | Stephanie Gotcher |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 19701 Kingwood Dr Bldg 5, Kingwood, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164935359 | NPI | - | NPPES |
| AP135770 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | AP135770 (Texas) | Secondary |
| Entity Name | Privia Medical Group Gulf Coast Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Gotcher, CNM 1200 Binz St Ste 1490, Houston, TX 77004-6946 Ph: (713) 512-7700 | Stephanie Gotcher, CNM 19701 Kingwood Dr Bldg 5, Kingwood, TX 77339-3773 Ph: (281) 319-8101 |
Ms. Polly Jewell Logan, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 201 Kingwood Medical Dr., Suite B-300, Kingwood, TX 77339 Phone: 281-359-2229 | |
Janet Little, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 201 Kingwood Medical Dr Ste B300, Kingwood, TX 77339 Phone: 281-359-2229 Fax: 281-359-8823 | |
Karen Petrusic Mcneal, APRN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 350 Kingwood Medical Dr Ste 350, Kingwood, TX 77339 Phone: 281-359-7000 |