Innocent Ike, is a
Case Manager/care Coordinator based in Atlanta, Georgia. Innocent Ike is licensed to practice in * (Not Available) (license number ) and his current practice location is
2001 Martin Luther King Jr Dr Sw, Suite, Atlanta, Georgia. He can be reached at his office (for appointments etc.) via phone at
(404) 564-6486.
NPI number for Innocent Ike is 1164829677 and his current mailing address is 2001 Martin Luther King Jr Dr Sw, Suite, Atlanta, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164829677.
Healthcare Provider's Profile
| Full Name | Innocent Ike |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 2001 Martin Luther King Jr Dr Sw, Atlanta, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164829677
- Provider Enumeration Date: 11/26/2014
- Last Update Date: 11/26/2014
Medical Identifiers
Medical identifiers for Innocent Ike such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164829677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
| 171W00000X | Contractor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Innocent Ike is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Innocent Ike,
2001 Martin Luther King Jr Dr Sw, Suite,
Atlanta, GA 30310-1101
Ph: (404) 564-6486 | Innocent Ike,
2001 Martin Luther King Jr Dr Sw, Suite,
Atlanta, GA 30310-1101
Ph: (404) 564-6486 |
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