Dr Ivy Lynn Brackup, MD in Dorchester, MA

Dr Ivy Lynn Brackup, MD is a medicare enrolled "Family Medicine" physician in Dorchester, Massachusetts. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Dothouse Health Inc. and her current practice location is 1353 Dorchester Ave, Dorchester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 288-3230.

Dr Ivy Lynn Brackup is licensed to practice in Massachusetts (license number 15530) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184691891.

Contact Information

	Dr Ivy Lynn Brackup, MD
	1353 Dorchester Ave, Dorchester, MA 02122-2932
	(617) 288-3230
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ivy Lynn Brackup
Gender	Female
Speciality	Family Practice
Experience	33 Years
Location	1353 Dorchester Ave, Dorchester, Massachusetts
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ivy Lynn Brackup attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1991

NPI Data:

NPI Number: 1184691891
Provider Enumeration Date: 03/01/2006
Last Update Date: 09/11/2024

Medicare PECOS Information:

PECOS PAC ID: 2163561986
Enrollment ID: I20091207000688

Medical Identifiers

Medical identifiers for Dr Ivy Lynn Brackup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184691891	NPI	-	NPPES
3177190	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	15530 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Boston Medical Center	Boston, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dothouse Health Inc.	8729991021	41

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 Ivy Lynn Brackup allows following entities to bill medicare on her behalf.

Entity Name	Dothouse Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578514733 PECOS PAC ID: 8729991021 Enrollment ID: O20031112000264

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 Ivy Lynn Brackup 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 Ivy Lynn Brackup, MD 1353 Dorchester Ave, Dorchester, MA 02122-2932 Ph: (617) 288-3230	Dr Ivy Lynn Brackup, MD 1353 Dorchester Ave, Dorchester, MA 02122-2932 Ph: (617) 288-3230

Reviews and Comments

Family Medicine Doctors in Dorchester, MA

Dr. Geoffrey Alan Modest, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Columbia Rd, Dorchester, MA 02125 Phone: 617-287-8000 Fax: 617-282-8625
Valerie Efonda Sanders, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Mount Vernon St, Dorchester, MA 02125 Phone: 617-288-1140
Dr. Daniel Cagua-koo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Mount Vernon St, Dorchester, MA 02125 Phone: 617-288-1140
Dr. Chinh Van Le, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124 Phone: 617-506-4970 Fax: 617-825-2352
Dr. Elise Marie Henricks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Columbia Rd, Dorchester, MA 02125 Phone: 617-740-8075 Fax: 617-740-8060
Dr. Amrutha Denduluri, MBBS, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 637 Washington Street, Dorchester, MA 02124 Phone: 617-825-9660
Glennon John Ogrady, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124 Phone: 617-506-4970 Fax: 978-686-4137

Dr Ivy Lynn Brackup, MD - Medicare Family Practice in Dorchester, MA