Jimmy Ivy, in Detroit, MI - Medicare Social Worker Provider

Jimmy Ivy, is a medicare enrolled "Social Worker" provider in Detroit, Michigan. His current practice location is 7310 Woodward Ave, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 230-8504.

Jimmy Ivy is licensed to practice in Michigan (license number 6801113515) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821588294.

Contact Information

	Jimmy Ivy,
	7310 Woodward Ave, Detroit, MI 48202-3165
	(313) 230-8504
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jimmy Ivy
Gender	Male
Speciality	Social Worker
Location	7310 Woodward Ave, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821588294
Provider Enumeration Date: 05/11/2018
Last Update Date: 08/03/2022

Medicare PECOS Information:

PECOS PAC ID: 6507252236
Enrollment ID: I20220406001601

Medical Identifiers

Medical identifiers for Jimmy Ivy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821588294	NPI	-	NPPES
L100414454389	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801102170 (Michigan)	Secondary
104100000X	Social Worker	6801113515 (Michigan)	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. Jimmy Ivy allows following entities to bill medicare on his behalf.

Entity Name	Easter Seals - Michigan, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376526616 PECOS PAC ID: 9830141670 Enrollment ID: O20050221000100

Entity Name	Ivy Counseling Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033863675 PECOS PAC ID: 5799171419 Enrollment ID: O20220406001412

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. Jimmy Ivy 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
Jimmy Ivy, 25610 W 12 Mile Rd, Southfield, MI 48034-8030 Ph: (517) 962-6256	Jimmy Ivy, 7310 Woodward Ave, Detroit, MI 48202-3165 Ph: (313) 230-8504

Reviews and Comments

Social Worker in Detroit, MI

Mary Decarolis, LMSW, ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-417-2769
Debbie Shell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2051 W Grand Blvd, New Center Community Mental Health Services, Detroit, MI 48208 Phone: 313-961-3221
Leah Welton, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 79 W Alexandrine St, Detroit, MI 48201 Phone: 313-831-5535 Fax: 313-831-2608
Mrs. Sinita Hankins, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17421 Telegraph Rd, Detroit, MI 48219 Phone: 313-531-2500
Yolonda Kinsey, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7310 Woodward Ave, Detroit, MI 48202 Phone: 313-896-1444
Leslie Marie Wilson, LLBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19750 Burt Rd, Detroit, MI 48219 Phone: 313-531-2500
Chama Paulina Maweja, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12800 E Warren Ave, Detroit, MI 48215 Phone: 313-824-8000

Jimmy Ivy, - Medicare Clinical Social Worker in Detroit, MI