Ivan Douglas Lavender, NP | |
3086 State Route 160, Gallipolis, OH 45631-8409 | |
(740) 446-5500 | |
(740) 446-4951 |
Full Name | Ivan Douglas Lavender |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 3086 State Route 160, Gallipolis, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518492578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.020695 (Ohio) | Primary |
Entity Name | Hopewell Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699010348 PECOS PAC ID: 9234049990 Enrollment ID: O20110209000712 |
Mailing Address | Practice Location Address |
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Ivan Douglas Lavender, NP Po Box 188, Chillicothe, OH 45601-0188 Ph: (740) 773-4366 | Ivan Douglas Lavender, NP 3086 State Route 160, Gallipolis, OH 45631-8409 Ph: (740) 446-5500 |
Jeanne L Ingles, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Central Ave, Gallipolis, OH 45631 Phone: 740-441-7510 Fax: 740-446-7391 | |
Spencer Kissel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1284 State Route 160, Gallipolis, OH 45631 Phone: 912-409-8533 | |
Paulette L Flinner, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 995 Jackson Pike, Gallipolis, OH 45631 Phone: 740-578-4824 | |
Kayla Shato, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 | |
Kerry Dill, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5000 | |
Angela Faith Arnold, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5000 | |
Megan Grace Lunsford, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5131 Fax: 740-446-5486 |