Tamara Ivy, is a
Occupational Therapist based in De Kalb, Missouri. Tamara Ivy is licensed to practice in Missouri (license number 004933) and her current practice location is
702 Main St, De Kalb, Missouri. She can be reached at her office (for appointments etc.) via phone at
(816) 450-8595.
NPI number for Tamara Ivy is 1215111620 and her current mailing address is 702 Main St, De Kalb, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215111620.
Healthcare Provider's Profile
Full Name | Tamara Ivy |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 702 Main St, De Kalb, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215111620
- Provider Enumeration Date: 12/20/2007
- Last Update Date: 12/20/2007
Medical Identifiers
Medical identifiers for Tamara Ivy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215111620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 004933 (Missouri) | 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. Tamara Ivy 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 |
Tamara Ivy, 702 Main St, De Kalb, MO 64440-9634 Ph: (816) 450-8595 | Tamara Ivy, 702 Main St, De Kalb, MO 64440-9634 Ph: (816) 450-8595 |
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