| Jami Ivey, Pc | |
|
1609 Julie St Union City TN 38261-6013 | |
| (270) 887-8744 | |
| Not Available |
| Full Name | Jami Ivey, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 1609 Julie St, Union City, Tennessee |
| Authorized Official Name and Position | Jami Ivey (PRESIDENT) |
| Authorized Official Contact | 2708878744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jami Ivey, Pc 1609 Julie St Union City TN 38261-5925 Ph: (270) 887-8744 | Jami Ivey, Pc 1609 Julie St Union City TN 38261-6013 Ph: (270) 887-8744 |
| NPI Number | 1619322104 |
|---|---|
| Provider Enumeration Date | 05/03/2016 |
| Last Update Date | 04/29/2021 |
| Certification Date | 04/29/2021 |
| Medicare PECOS PAC ID | 9739463670 |
|---|---|
| Medicare Enrollment ID | O20170221002008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619322104 | NPI | - | NPPES |
| 7100391890 | Medicaid | KY |
| Provider Name | Jami Ivey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083797211 PECOS PAC ID: 8325357650 Enrollment ID: I20151027001901 |
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