Ivy Lewis Lewis, LPN is a
Licensed Practical Nurse based in Chubbuck, Idaho. Ivy Lewis Lewis is licensed to practice in Idaho (license number 14873) and her current practice location is
4414 Deer Ave, Chubbuck, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 317-3364.
NPI number for Ivy Lewis Lewis is 1972310035 and her current mailing address is 2293 Jacqueline Ln, Pocatello, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972310035.
Provider's Profile
Full Name | Ivy Lewis Lewis |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 4414 Deer Ave, Chubbuck, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972310035
- Provider Enumeration Date: 12/12/2024
- Last Update Date: 12/12/2024
Medical Identifiers
Medical identifiers for Ivy Lewis Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972310035 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 14873 (Idaho) | 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. Ivy Lewis Lewis 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 |
Ivy Lewis Lewis, LPN 2293 Jacqueline Ln, Pocatello, ID 83201-1867 Ph: (208) 317-3364 | Ivy Lewis Lewis, LPN 4414 Deer Ave, Chubbuck, ID 83202-2668 Ph: (208) 317-3364 |
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