Dr George L Ivey Iii, MD is a medicare enrolled "General Practice" physician in Cookeville, Tennessee. His current practice location is
701 County Services Dr, Cookeville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 528-2531.
Dr George L Ivey Iii is licensed to practice in Tennessee (license number MD14169) 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 1720076342.
Physician's Profile
Full Name | Dr George L Ivey Iii |
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Gender | Male |
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Speciality | General Practice |
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Location | 701 County Services Dr, Cookeville, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720076342
- Provider Enumeration Date: 10/07/2005
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 3971792615
- Enrollment ID: I20110111000314
Medical Identifiers
Medical identifiers for Dr George L Ivey Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720076342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MD 14169 (Tennessee) | Secondary |
208D00000X | General Practice | MD14169 (Tennessee) | 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. Dr George L Ivey Iii allows following entities to bill medicare on his behalf.
Entity Name | State Of Tennessee |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487791315 PECOS PAC ID: 5698687077 Enrollment ID: O20031104000309 |
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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. Dr George L Ivey Iii 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 |
Dr George L Ivey Iii, MD 1100 England Dr, Cookeville, TN 38501-0924 Ph: (931) 520-4466 | Dr George L Ivey Iii, MD 701 County Services Dr, Cookeville, TN 38501-4338 Ph: (931) 528-2531 |
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