Ms Tia Roche Ivory, FNP-C in Kilgore, TX - Medicare Nurse Practitioner

Ms Tia Roche Ivory, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Kilgore, Texas. Her current practice location is 2019a S Henderson Blvd Ste 2, Kilgore, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 483-7707.

Ms Tia Roche Ivory is licensed to practice in Texas (license number AP136828) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689176885.

Contact Information

	Ms Tia Roche Ivory, FNP-C
	2019a S Henderson Blvd Ste 2, Kilgore, TX 75662-3567
	(903) 483-7707
	(903) 483-7708

Map and Direction

Provider's Profile

Full Name	Ms Tia Roche Ivory
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2019a S Henderson Blvd Ste 2, Kilgore, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689176885
Provider Enumeration Date: 03/03/2018
Last Update Date: 05/08/2023

Medicare PECOS Information:

PECOS PAC ID: 2466701024
Enrollment ID: I20180816000606

Medical Identifiers

Medical identifiers for Ms Tia Roche Ivory such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689176885	NPI	-	NPPES
8025511	Other	TX	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP136828 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Tia Roche Ivory allows following entities to bill medicare on her behalf.

Entity Name	Marshall Family Practice Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528070414 PECOS PAC ID: 6901803303 Enrollment ID: O20061027000116

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. Ms Tia Roche Ivory 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
Ms Tia Roche Ivory, FNP-C 2019a South Henderson Blvd, Suite 2, Kilgore, TX 75662-3915 Ph: (903) 483-7707	Ms Tia Roche Ivory, FNP-C 2019a S Henderson Blvd Ste 2, Kilgore, TX 75662-3567 Ph: (903) 483-7707

Reviews and Comments

Nurse Practitioner Nurses in Kilgore, TX

Jolyn Kaye Hawkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1016 N Kilgore St, Kilgore, TX 75662 Phone: 903-522-4199 Fax: 903-522-4015
Mr. Christopher Kirk Bailey, APRN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110 Fax: 903-984-3783
Heather Jordan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-215-3149
Laura Moore, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1711 S Henderson Blvd Ste 300, Kilgore, TX 75662 Phone: 903-988-0605 Fax: 903-988-9804
Valerie Michelle Vaughn-smith, APRN,MSN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3105 Rockbrook Dr, Kilgore, TX 75662 Phone: 903-812-0684
Allyson Thompson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 E Lantrip St, Kilgore, TX 75662 Phone: 903-983-0081 Fax: 903-983-0082
Ashley Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110

Ms Tia Roche Ivory, FNP-C - Medicare Nurse Practitioner in Kilgore, TX