Miss Alim Vivanco, is a
General Practice physician based in Beavercreek, Ohio. Miss Alim Vivanco is licensed to practice in Ohio (license number 23558185) and her current practice location is 2641 Hibiscus Way, Apt 312, Beavercreek, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 830-0114.
NPI number for Miss Alim Vivanco is 1881977171 and her current mailing address is 2641 Hibiscus Way, Apt 312, Beavercreek, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881977171.
Physician's Profile
| Full Name | Miss Alim Vivanco |
|---|
| Gender | Female |
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| Speciality | General Practice |
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| Location | 2641 Hibiscus Way, Beavercreek, Ohio |
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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: 1881977171
- Provider Enumeration Date: 09/22/2011
- Last Update Date: 09/22/2011
Medical Identifiers
Medical identifiers for Miss Alim Vivanco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881977171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 23558185 (Ohio) | Secondary |
| 207R00000X | Internal Medicine | 23558185 (Ohio) | Secondary |
| 208D00000X | General Practice | 23558185 (Ohio) | 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. Miss Alim Vivanco 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 |
|---|
Miss Alim Vivanco,
2641 Hibiscus Way, Apt 312,
Beavercreek, OH 45431-2393
Ph: (937) 830-0114 | Miss Alim Vivanco,
2641 Hibiscus Way, Apt 312,
Beavercreek, OH 45431-2393
Ph: (937) 830-0114 |
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