Mandikala Ikota, is a
Licensed Vocational Nurse based in Newark, Texas. Mandikala Ikota is licensed to practice in Texas (license number 228234) and her current practice location is
146 Cattlemans Creek Rd, Newark, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 441-3096.
NPI number for Mandikala Ikota is 1689212870 and her current mailing address is 146 Cattlemans Creek Rd, Newark, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689212870.
Provider's Profile
| Full Name | Mandikala Ikota |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 146 Cattlemans Creek Rd, Newark, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689212870
- Provider Enumeration Date: 12/18/2019
- Last Update Date: 12/18/2019
Medical Identifiers
Medical identifiers for Mandikala Ikota such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689212870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 228234 (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. Mandikala Ikota 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 |
|---|
Mandikala Ikota,
146 Cattlemans Creek Rd,
Newark, TX 76071-4327
Ph: (817) 441-3096 | Mandikala Ikota,
146 Cattlemans Creek Rd,
Newark, TX 76071-4327
Ph: (817) 441-3096 |
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