Ivan Oliva, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Miami, Florida. His current practice location is
9350 Sunset Dr Ste 151, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at
(786) 548-1022.
Ivan Oliva is licensed to practice in Florida (license number 11008837) 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 1295086106.
Healthcare Provider's Profile
| Full Name | Ivan Oliva |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 9350 Sunset Dr Ste 151, Miami, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295086106
- Provider Enumeration Date: 10/02/2012
- Last Update Date: 05/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204294200
- Enrollment ID: I20230623001149
Medical Identifiers
Medical identifiers for Ivan Oliva such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295086106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11008837 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11008837 (Florida) | 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. Ivan Oliva allows following entities to bill medicare on his behalf.
| Entity Name | Dade Family Counseling Community Mental Health Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427055417
PECOS PAC ID: 0446164982
Enrollment ID: O20120626000064 |
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| Entity Name | Juntos Behavioral & Mental Benefits Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174027247
PECOS PAC ID: 6507256989
Enrollment ID: O20211129000065 |
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| Entity Name | Son Rice Mental Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871350694
PECOS PAC ID: 9436596749
Enrollment ID: O20240322000526 |
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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. Ivan Oliva 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 |
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Ivan Oliva,
9894 Nw 82nd Ave Apt 303,
Hialeah Gardens, FL 33016-2531
Ph: (561) 319-1847 | Ivan Oliva,
9350 Sunset Dr Ste 151,
Miami, FL 33173-3286
Ph: (786) 548-1022 |
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