Ivy Omorodion, is a
Advanced Practice Midwife based in Canton, Michigan. Ivy Omorodion is licensed to practice in Michigan (license number 4704308033) and her current practice location is
Po Box 87889, Canton, Michigan. She can be reached at her office (for appointments etc.) via phone at
(567) 343-5792.
NPI number for Ivy Omorodion is 1114810835 and her current mailing address is Po Box 87889, Canton, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114810835.
Provider's Profile
| Full Name | Ivy Omorodion |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
|---|
| Location | Po Box 87889, Canton, Michigan |
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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: 1114810835
- Provider Enumeration Date: 06/02/2025
- Last Update Date: 06/02/2025
Medical Identifiers
Medical identifiers for Ivy Omorodion such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114810835 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 4704308033 (Michigan) | 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. Ivy Omorodion 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 |
|---|
Ivy Omorodion,
Po Box 87889,
Canton, MI 48187-0889
Ph: () - | Ivy Omorodion,
Po Box 87889,
Canton, MI 48187-0889
Ph: (567) 343-5792 |
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