Mrs January Dawn Ivancic, is a
Nurse Practitioner - Family physician based in El Paso, Texas. Mrs January Dawn Ivancic is licensed to practice in Texas (license number 1137078) and her current practice location is 1205 N Oregon St, El Paso, Texas. She can be reached at her office (for appointments etc.) via phone at
(915) 533-4900.
NPI number for Mrs January Dawn Ivancic is 1730868993 and her current mailing address is 156 Sand Drift Pl, El Paso, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730868993.
Physician's Profile
| Full Name | Mrs January Dawn Ivancic |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1205 N Oregon St, El Paso, Texas |
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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: 1730868993
- Provider Enumeration Date: 07/14/2023
- Last Update Date: 10/06/2023
Medical Identifiers
Medical identifiers for Mrs January Dawn Ivancic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730868993 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 1093395139 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1137078 (Texas) | 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. Mrs January Dawn Ivancic 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 |
|---|
Mrs January Dawn Ivancic,
156 Sand Drift Pl,
El Paso, TX 79928-9113
Ph: (915) 400-8583 | Mrs January Dawn Ivancic,
1205 N Oregon St,
El Paso, TX 79902-4023
Ph: (915) 533-4900 |
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