Ailee Marie Justo, is a
Student In An Organized Health Care Education/training Program physician based in Pocatello, Idaho. Ailee Marie Justo is licensed to practice in * (Not Available) (license number ) and her current practice location is 921 S 8th Ave Stop 8253, Pocatello, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 282-4726.
NPI number for Ailee Marie Justo is 1083453187 and her current mailing address is 921 S 8th Ave Stop 8253, Pocatello, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083453187.
Physician's Profile
| Full Name | Ailee Marie Justo |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 921 S 8th Ave Stop 8253, Pocatello, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083453187
- Provider Enumeration Date: 05/20/2024
- Last Update Date: 05/20/2024
Medical Identifiers
Medical identifiers for Ailee Marie Justo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083453187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085B0100X | Radiology - Body Imaging | 11885253-5402 (Utah) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Ailee Marie Justo 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 |
|---|
Ailee Marie Justo,
921 S 8th Ave Stop 8253,
Pocatello, ID 83209-0002
Ph: (208) 282-4726 | Ailee Marie Justo,
921 S 8th Ave Stop 8253,
Pocatello, ID 83209-0002
Ph: (208) 282-4726 |
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