Nidha Jivan, PA is a medicare enrolled "Physician Assistant" physician in Snellville, Georgia. Her current practice location is
1800 Tree Ln Ste 250, Snellville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 736-6300.
Nidha Jivan is licensed to practice in Georgia (license number 11663) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902580772.
Physician's Profile
Full Name | Nidha Jivan |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1800 Tree Ln Ste 250, Snellville, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902580772
- Provider Enumeration Date: 06/12/2023
- Last Update Date: 09/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416318407
- Enrollment ID: I20230808000424
Medical Identifiers
Medical identifiers for Nidha Jivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902580772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RI0011X | Internal Medicine - Interventional Cardiology | 11663 (Georgia) | Secondary |
363A00000X | Physician Assistant | 11663 (Georgia) | 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. Nidha Jivan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nidha Jivan, PA 410 Meijer Dr, Florence, KY 41042-5128 Ph: () - | Nidha Jivan, PA 1800 Tree Ln Ste 250, Snellville, GA 30078-6799 Ph: (770) 736-6300 |
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