JUSTINE EVE MARIL BUSLON IBALE
NPI 1700405206
Student in an Organized Health Care Education/Training Program in Jackson, MS

Q: What is Justine Eve Maril Ibale's NPI number?

The NPI number for Justine Eve Maril Ibale is 1700405206. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Q: What is Justine Eve Maril Ibale's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 14, 2020PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-6562(601) 918-2086 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Justine Eve Maril Buslon Ibale NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTINE EVE MARIL BUSLON IBALE (NPI 1700405206) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700405206

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJUSTINE EVE MARIL BUSLON IBALE

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address300 Kirkwood DrClinton, MS 39056-5882

Phone(601) 984-6562

Fax(601) 918-2086

Sole ProprietorNo

Enumeration DateApril 14, 2020

NPPES CertifiedApril 14, 2020

✔ NPI 1700405206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2500 N STATE ST, Jackson, MS 39216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justine Eve Maril Buslon Ibale is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Justine Eve Maril Ibale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Mississippi - University Of Mississippi Medical Center

Same address

General Acute Care Hospital

2500 N STATE ST
Jackson, MS 39216

Reassigned Medicare billing, Mississippi enrollment
1,932 clinicians in this Medicare group

NPI 1154317527 (601) 984-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)