Ms Ida Inez Nieto, OTR is a
Occupational Therapist based in Converse, Indiana. Ms Ida Inez Nieto is licensed to practice in Indiana (license number 31000620A) and her current practice location is
13673 S 1050 E, Converse, Indiana. She can be reached at her office (for appointments etc.) via phone at
(765) 243-1042.
NPI number for Ms Ida Inez Nieto is 1255494514 and her current mailing address is 13673 S 1050 E, Converse, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255494514.
Healthcare Provider's Profile
| Full Name | Ms Ida Inez Nieto |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 13673 S 1050 E, Converse, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255494514
- Provider Enumeration Date: 12/18/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Ida Inez Nieto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255494514 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 31000620A (Indiana) | 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. Ms Ida Inez Nieto 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 |
|---|
Ms Ida Inez Nieto, OTR
13673 S 1050 E,
Converse, IN 46919-9227
Ph: (765) 243-1042 | Ms Ida Inez Nieto, OTR
13673 S 1050 E,
Converse, IN 46919-9227
Ph: (765) 243-1042 |
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