Denice Marie Ichinoe, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Las Vegas, Nevada. Her current practice location is
2724 N Tenaya Way Fl 2, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 992-6888.
Denice Marie Ichinoe is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235766957.
Physician's Profile
Full Name | Denice Marie Ichinoe |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2724 N Tenaya Way Fl 2, Las Vegas, Nevada |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235766957
- Provider Enumeration Date: 03/24/2020
- Last Update Date: 02/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082037643
- Enrollment ID: I20200715000751
Medical Identifiers
Medical identifiers for Denice Marie Ichinoe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235766957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QS0010X | Family Medicine - Sports Medicine | DO3807 (Nevada) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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. Denice Marie Ichinoe is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Denice Marie Ichinoe, DO 2724 N Tenaya Way Fl 2, Las Vegas, NV 89128-0424 Ph: (702) 992-6888 | Denice Marie Ichinoe, DO 2724 N Tenaya Way Fl 2, Las Vegas, NV 89128-0424 Ph: (702) 992-6888 |
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