Mr Tommy D Ivison, LPC is a
Counselor - Professional based in Marquand, Missouri. Mr Tommy D Ivison is licensed to practice in Missouri (license number 2008032465) and his current practice location is
1308 Madison 304, Marquand, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 218-4703.
NPI number for Mr Tommy D Ivison is 1508182569 and his current mailing address is 1308 Madison 304, Marquand, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508182569.
Healthcare Provider's Profile
Full Name | Mr Tommy D Ivison |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 1308 Madison 304, Marquand, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508182569
- Provider Enumeration Date: 04/15/2010
- Last Update Date: 02/14/2015
Medical Identifiers
Medical identifiers for Mr Tommy D Ivison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508182569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 2008032465 (Missouri) | Primary |
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. Mr Tommy D Ivison 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 |
Mr Tommy D Ivison, LPC 1308 Madison 304, Marquand, MO 63655-8691 Ph: (573) 218-4703 | Mr Tommy D Ivison, LPC 1308 Madison 304, Marquand, MO 63655-8691 Ph: (573) 218-4703 |
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