Mary Livesay, is a
Nurse Practitioner - Family based in Ullin, Illinois. Mary Livesay is licensed to practice in Illinois (license number 209031855) and her current practice location is
37 Rustic Campus Dr, Ullin, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 634-2297.
NPI number for Mary Livesay is 1386442093 and her current mailing address is 37 Rustic Campus Dr, Ullin, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386442093.
Provider's Profile
Full Name | Mary Livesay |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 37 Rustic Campus Dr, Ullin, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386442093
- Provider Enumeration Date: 03/06/2025
- Last Update Date: 03/06/2025
Medical Identifiers
Medical identifiers for Mary Livesay such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386442093 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209031855 (Illinois) | 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. Mary Livesay 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 |
Mary Livesay, 37 Rustic Campus Dr, Ullin, IL 62992-2226 Ph: (618) 634-2297 | Mary Livesay, 37 Rustic Campus Dr, Ullin, IL 62992-2226 Ph: (618) 634-2297 |
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