Mrs January Dawn Ivancic, in El Paso, TX - Nurse Practitioner

Mrs January Dawn Ivancic, is a Nurse Practitioner - Family physician based in El Paso, Texas. Mrs January Dawn Ivancic is licensed to practice in Texas (license number 1137078) and her current practice location is 1205 N Oregon St, El Paso, Texas. She can be reached at her office (for appointments etc.) via phone at (915) 533-4900.

NPI number for Mrs January Dawn Ivancic is 1730868993 and her current mailing address is 156 Sand Drift Pl, El Paso, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730868993.

Contact Information

	Mrs January Dawn Ivancic,
	1205 N Oregon St, El Paso, TX 79902-4023
	(915) 533-4900
	Not Available

Physician's Profile

Full Name	Mrs January Dawn Ivancic
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1205 N Oregon St, El Paso, Texas
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1730868993
Provider Enumeration Date: 07/14/2023
Last Update Date: 10/06/2023

Medical Identifiers

Medical identifiers for Mrs January Dawn Ivancic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730868993	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0200X	Internal Medicine - Infectious Disease	1093395139 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	1137078 (Texas)	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. Mrs January Dawn Ivancic 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
Mrs January Dawn Ivancic, 156 Sand Drift Pl, El Paso, TX 79928-9113 Ph: (915) 400-8583	Mrs January Dawn Ivancic, 1205 N Oregon St, El Paso, TX 79902-4023 Ph: (915) 533-4900

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Mrs January Dawn Ivancic, - Nurse Practitioner in El Paso, TX