Mrs Taryn Suzanne Ivie, CADC is a
Counselor - Addiction (substance Use Disorder) based in Ashton, Idaho. Mrs Taryn Suzanne Ivie is licensed to practice in Idaho (license number 10221) and her current practice location is
1320 N 3300 E, Ashton, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 589-9054.
NPI number for Mrs Taryn Suzanne Ivie is 1124412747 and her current mailing address is 1320 N 3300 E, Ashton, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124412747.
Healthcare Provider's Profile
| Full Name | Mrs Taryn Suzanne Ivie |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 1320 N 3300 E, Ashton, Idaho |
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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: 1124412747
- Provider Enumeration Date: 03/20/2015
- Last Update Date: 03/20/2015
Medical Identifiers
Medical identifiers for Mrs Taryn Suzanne Ivie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124412747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10221 (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. Mrs Taryn Suzanne Ivie 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 |
|---|
Mrs Taryn Suzanne Ivie, CADC
1320 N 3300 E,
Ashton, ID 83420-5018
Ph: (208) 589-9054 | Mrs Taryn Suzanne Ivie, CADC
1320 N 3300 E,
Ashton, ID 83420-5018
Ph: (208) 589-9054 |
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