Joyce Boluwatife Idehen, MD is a medicare enrolled "Family Medicine" in Pearland, Texas. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Clear Lake Primary Care Pllc and her current practice location is
10905 Memorial Hermann Dr Ste 130, Pearland, Texas. You can reach out to her office (for appointments etc.) via phone at
(346) 288-8746.
Joyce Boluwatife Idehen is licensed to practice in Texas (license number W2077) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215420559.
Provider's Profile
| Full Name | Joyce Boluwatife Idehen |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 5 Years |
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| Location | 10905 Memorial Hermann Dr Ste 130, Pearland, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Joyce Boluwatife Idehen graduated from nursing school in 2021
NPI Data:
- NPI Number: 1215420559
- Provider Enumeration Date: 06/12/2018
- Last Update Date: 02/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 4486146099
- Enrollment ID: I20251121001028
Medical Identifiers
Medical identifiers for Joyce Boluwatife Idehen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215420559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 865223 (Texas) | Secondary |
| 207Q00000X | Family Medicine | W2077 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Clear Lake Primary Care Pllc | 6406001627 | 43 |
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. Joyce Boluwatife Idehen 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 |
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Joyce Boluwatife Idehen, MD
Po Box 57845,
Webster, TX 77598-7845
Ph: (346) 288-8746 | Joyce Boluwatife Idehen, MD
10905 Memorial Hermann Dr Ste 130,
Pearland, TX 77584-3773
Ph: (346) 288-8746 |
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