Mr Jimmie R Livesay, BCBA is a
Psychologist - Intellectual & Developmental Disabilities based in Jonesboro, Illinois. Mr Jimmie R Livesay is licensed to practice in * (Not Available) (license number ) and his current practice location is
514 N Main St, Jonesboro, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 614-4265.
NPI number for Mr Jimmie R Livesay is 1336260256 and his current mailing address is 514 N Main St, Jonesboro, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336260256.
Healthcare Provider's Profile
Full Name | Mr Jimmie R Livesay |
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Gender | Male |
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Speciality | Psychologist - Intellectual & Developmental Disabilities |
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Location | 514 N Main St, Jonesboro, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336260256
- Provider Enumeration Date: 04/02/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Jimmie R Livesay such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336260256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | 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. Mr Jimmie R Livesay 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 |
Mr Jimmie R Livesay, BCBA 514 N Main St, Jonesboro, IL 62952-1800 Ph: (618) 614-4265 | Mr Jimmie R Livesay, BCBA 514 N Main St, Jonesboro, IL 62952-1800 Ph: (618) 614-4265 |
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