Ken Ibeto, is a
Clinical Nurse Specialist - Home Health based in Lithia Springs, Georgia. Ken Ibeto is licensed to practice in Georgia (license number 048-R-2014) and his current practice location is
7646 Forest Glen Way, Lithia Springs, Georgia. He can be reached at his office (for appointments etc.) via phone at
(678) 637-6249.
NPI number for Ken Ibeto is 1053807347 and his current mailing address is 7646 Forest Glen Way, Lithia Springs, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053807347.
Provider's Profile
| Full Name | Ken Ibeto |
|---|
| Gender | Male |
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| Speciality | Clinical Nurse Specialist - Home Health |
|---|
| Location | 7646 Forest Glen Way, Lithia Springs, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053807347
- Provider Enumeration Date: 07/10/2018
- Last Update Date: 07/10/2018
Medical Identifiers
Medical identifiers for Ken Ibeto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053807347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SH0200X | Clinical Nurse Specialist - Home Health | 048-R-2014 (Georgia) | 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. Ken Ibeto 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 |
|---|
Ken Ibeto,
7646 Forest Glen Way,
Lithia Springs, GA 30122-6867
Ph: (678) 637-6249 | Ken Ibeto,
7646 Forest Glen Way,
Lithia Springs, GA 30122-6867
Ph: (678) 637-6249 |
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