| Ivy Vickers, | |
|
657 Hemlock St, Suite 220, Macon, GA 31201 | |
| (478) 361-6921 | |
| Not Available |
| Full Name | Ivy Vickers |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 657 Hemlock St, Macon, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184173965 | NPI | - | NPPES |
| 812782599 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN215789 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-south Palliative Services Llc | 9234674375 | 7 |
| Entity Name | Mid-south Palliative Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306351275 PECOS PAC ID: 9234674375 Enrollment ID: O20240712001033 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Vickers, 118 Chadwyck Cir, Bonaire, GA 31005-3167 Ph: (478) 213-6948 | Ivy Vickers, 657 Hemlock St, Suite 220, Macon, GA 31201 Ph: (478) 361-6921 |
Michelle Renee Brown, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 1st St, Macon, GA 31201 Phone: 478-301-5930 Fax: 478-301-5932 | |
Mrs. Jamie Lynn Harrelson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4061 Vineville Ave, Macon, GA 31210 Phone: 478-757-7345 | |
Skylar Nelson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr Ste 200, Macon, GA 31217 Phone: 478-745-1191 | |
Linda Denice Farrow, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Heath Pl Rd, Macon, GA 31220 Phone: 478-765-2010 | |
Jo Beth Roberts, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-6706 Fax: 478-633-5384 | |
Jennifer Johnson Slade, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 Hardeman Ave Ste B, Macon, GA 31201 Phone: 478-741-7337 | |
Mrs. Lynn Davis Waits, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 College Station Dr, Macon, GA 31206 Phone: 478-471-2092 |