Carrie Jividen, CNM is a medicare enrolled "Advanced Practice Midwife" in Lancaster, Ohio. Her current practice location is
2151 W Fair Ave, Unit 113, Lancaster, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 475-8446.
Carrie Jividen is licensed to practice in Ohio (license number ) 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 1447616438.
Provider's Profile
| Full Name | Carrie Jividen |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
|---|
| Location | 2151 W Fair Ave, Lancaster, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1447616438
- Provider Enumeration Date: 01/07/2016
- Last Update Date: 01/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 3971898834
- Enrollment ID: I20160817001865
Medical Identifiers
Medical identifiers for Carrie Jividen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447616438 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | (Ohio) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carrie Jividen allows following entities to bill medicare on her behalf.
| Entity Name | Ohiohealth Corporation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532 |
|---|
| Entity Name | Health Professionals Of Holmes County, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1023289204
PECOS PAC ID: 6002916194
Enrollment ID: O20070702000432 |
|---|
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. Carrie Jividen 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 |
|---|
Carrie Jividen, CNM
2151 W Fair Ave, Unit 113,
Lancaster, OH 43130-8820
Ph: (740) 475-8446 | Carrie Jividen, CNM
2151 W Fair Ave, Unit 113,
Lancaster, OH 43130-8820
Ph: (740) 475-8446 |
Reviews and Comments