Iysis Chanel Rutledge, is a
Student In An Organized Health Care Education/training Program based in Summerville, South Carolina. Iysis Chanel Rutledge is licensed to practice in * (Not Available) (license number ) and her current practice location is
1005 Sonoran Cir Apt 6104, Summerville, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 331-8724.
NPI number for Iysis Chanel Rutledge is 1982588422 and her current mailing address is 1005 Sonoran Cir Apt 6104, Summerville, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982588422.
Provider's Profile
| Full Name | Iysis Chanel Rutledge |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1005 Sonoran Cir Apt 6104, Summerville, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1982588422
- Provider Enumeration Date: 08/05/2025
- Last Update Date: 08/05/2025
Medical Identifiers
Medical identifiers for Iysis Chanel Rutledge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982588422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Iysis Chanel Rutledge 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 |
|---|
Iysis Chanel Rutledge,
1005 Sonoran Cir Apt 6104,
Summerville, SC 29485-6352
Ph: (843) 331-8724 | Iysis Chanel Rutledge,
1005 Sonoran Cir Apt 6104,
Summerville, SC 29485-6352
Ph: (843) 331-8724 |
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