Martha Ann Stacy (NPI# 1417025974, PAC ID# 3072799188) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1417025974 |
| PAC ID by PECOS | 3072799188 |
| Professional Enrollment ID | I20110525000105 |
| Full Name | Martha Ann Stacy |
| Address |
1718 W Jefferson St Boise ID 83702-3949 |
| Phone Number | 2084248130 |
| Gender | F |
| Graduation Year | 1995 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1718 W Jefferson St, Boise, ID 83702-3949 | 2084248130 |
| Street Address |
1718 W JEFFERSON ST |
| City | BOISE |
| State | ID |
| Zip | 83702-3949 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renee Ours Bild | Clinical Social Worker | 1718 W Jefferson St, Boise, ID 83702-3949 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim Kutzner | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Stacey L Scanlan | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Jody Alison Thatcher Bullard | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| Ali Lubbers | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
| David A Teed | Clinical Social Worker | 1407 N 13th St, Boise, ID 83702-3531 | |
| Amber L Simonson | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Todd Anthony Noble | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Lauren M Huber | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
| Coire C Weathers | Psychiatry | 1919 W State St, Boise, ID 83702-3958 | |
| Christian A Vanderford | Physical Therapy | 1625 W State St, Suite 100, Boise, ID 83702-4003 | |
| Find all physicians in zip 83702 | |||
| City | BOISE |
| Zip Code | 83702 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | BOISE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Martha Ann Stacy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.