Jared Jackson Ivey, is a
Student In An Organized Health Care Education/training Program based in Dillon, South Carolina. Jared Jackson Ivey is licensed to practice in South Carolina (license number ) and his current practice location is
607 E Jefferson St, Dillon, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(843) 506-9763.
NPI number for Jared Jackson Ivey is 1407731441 and his current mailing address is 607 E Jefferson St, Dillon, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407731441.
Provider's Profile
| Full Name | Jared Jackson Ivey |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 607 E Jefferson St, Dillon, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407731441
- Provider Enumeration Date: 08/08/2025
- Last Update Date: 08/08/2025
Medical Identifiers
Medical identifiers for Jared Jackson Ivey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407731441 | 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 | (South Carolina) | 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. Jared Jackson Ivey 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 |
|---|
Jared Jackson Ivey,
607 E Jefferson St,
Dillon, SC 29536-3019
Ph: (843) 506-9763 | Jared Jackson Ivey,
607 E Jefferson St,
Dillon, SC 29536-3019
Ph: (843) 506-9763 |
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