Angela Mae Lively, LVN is a
Licensed Vocational Nurse based in Forestburg, Texas. Angela Mae Lively is licensed to practice in Texas (license number 163630) and her current practice location is
253 Short Street, Forestburg, Texas. She can be reached at her office (for appointments etc.) via phone at
(940) 284-0893.
NPI number for Angela Mae Lively is 1528699030 and her current mailing address is 253 Short Street, Forestburg, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528699030.
Provider's Profile
| Full Name | Angela Mae Lively |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 253 Short Street, Forestburg, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1528699030
- Provider Enumeration Date: 02/03/2020
- Last Update Date: 02/03/2020
Medical Identifiers
Medical identifiers for Angela Mae Lively such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528699030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 163630 (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. Angela Mae Lively 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 |
|---|
Angela Mae Lively, LVN
253 Short Street,
Forestburg, TX 76239
Ph: (940) 284-0893 | Angela Mae Lively, LVN
253 Short Street,
Forestburg, TX 76239
Ph: (940) 284-0893 |
Reviews and Comments