Irvin Carlyle Bembry, MD is a
Family Medicine physician based in Jasper, Florida. Irvin Carlyle Bembry is licensed to practice in Florida (license number 22041) and his current practice location is 413 5th Ave Nw, Jasper, Florida. He can be reached at his office (for appointments etc.) via phone at
(386) 792-2985.
NPI number for Irvin Carlyle Bembry is 1649276247 and his current mailing address is Po Box 1028, Jasper, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649276247.
Physician's Profile
| Full Name | Irvin Carlyle Bembry |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 413 5th Ave Nw, Jasper, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649276247
- Provider Enumeration Date: 06/28/2005
- Last Update Date: 12/01/2009
Medical Identifiers
Medical identifiers for Irvin Carlyle Bembry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649276247 | NPI | - | NPPES |
| 055712900 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 22041 (Florida) | 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. Irvin Carlyle Bembry 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 |
|---|
Irvin Carlyle Bembry, MD
Po Box 1028,
Jasper, FL 32052-1028
Ph: (386) 792-2985 | Irvin Carlyle Bembry, MD
413 5th Ave Nw,
Jasper, FL 32052-7800
Ph: (386) 792-2985 |
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