Ayvee Lavender, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Willow Spring, North Carolina. Her current practice location is
6805 Dwight Rowland Rd, Willow Spring, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 737-2561.
Ayvee Lavender is licensed to practice in North Carolina (license number 5015429) 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 1912403676.
Provider's Profile
| Full Name | Ayvee Lavender |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 6805 Dwight Rowland Rd, Willow Spring, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912403676
- Provider Enumeration Date: 04/02/2018
- Last Update Date: 09/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092054395
- Enrollment ID: I20241227002654
Medical Identifiers
Medical identifiers for Ayvee Lavender such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912403676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | AP136033 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | A166587 (Iowa) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5015429 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ayvee Lavender allows following entities to bill medicare on her behalf.
| Entity Name | Family Medical Group Of Texarkana |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831233766
PECOS PAC ID: 3870485626
Enrollment ID: O20040326000325 |
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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. Ayvee Lavender 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 |
|---|
Ayvee Lavender, FNP-C
6805 Dwight Rowland Rd,
Willow Spring, NC 27592-0105
Ph: (919) 737-2561 | Ayvee Lavender, FNP-C
6805 Dwight Rowland Rd,
Willow Spring, NC 27592-0105
Ph: (919) 737-2561 |
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