| Tracy D Osborne, MSN, FNP-C | |
|
5330 S Highway 95, Fort Mohave, AZ 86426-9225 | |
| (928) 542-2938 | |
| Not Available |
| Full Name | Tracy D Osborne |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 5330 S Highway 95, Fort Mohave, Arizona |
| 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 |
|---|---|---|---|
| 1306187158 | NPI | - | NPPES |
| 800185 | Medicaid | AZ |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley View Medical Center | Fort mohave, AZ | Hospital |
| St Johns Medical Center | Jackson, WY | Hospital |
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Rochester Manor | Rochester, NH | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Teton County Hospital District | 4880582295 | 107 |
| Daniel Funsch Jr Md Pc | 1951801836 | 139 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Valley View Physician Practices Llc | 7810045143 | 10 |
| Entity Name | Ivy Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700558798 PECOS PAC ID: 4981097797 Enrollment ID: O20241227001555 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy D Osborne, MSN, FNP-C 5301 Muddy String Rd # 7249, Star Valley Ranch, WY 83127-5222 Ph: (928) 542-2938 | Tracy D Osborne, MSN, FNP-C 5330 S Highway 95, Fort Mohave, AZ 86426-9225 Ph: (928) 542-2938 |
Mr. Ian Lloyd Ruiz Baccay, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, AZ 86426 Phone: 928-704-6400 |
Dilyara Cannon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426 Phone: 928-768-2558 Fax: 928-768-2874 |
Kristen Peddycord, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-2273 |
Deborah Ann Hughson, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5263 Hwy 95, Fort Mohave, AZ 86426 Phone: 928-704-6400 Fax: 928-768-1150 |
Theresa Marin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 E Joy Ln, Fort Mohave, AZ 86426 Phone: 928-788-8000 |
Mr. Larry Lee Bousquet Ii, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1611 E Joy Ln # 1, Fort Mohave, AZ 86426 Phone: 928-768-9496 Fax: 928-768-1943 |
Annie Marie Rodman, MSN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1510 E Wagon Wheel Ln, Suite 106, Fort Mohave, AZ 86426 Phone: 928-788-9378 Fax: 928-788-9381 |