Dr Lillian Kim Ivansco, MD, MPH in Atlanta, GA - Medicare Diagnostic Radiology

Dr Lillian Kim Ivansco, MD, MPH is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Atlanta, Georgia. She went to Emory University School Of Medicine and graduated in 2008 and has 17 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is 20 Glenlake Pkwy, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 364-7285.

Dr Lillian Kim Ivansco is licensed to practice in Georgia (license number 069869) 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 1043478605.

Contact Information

	Dr Lillian Kim Ivansco, MD, MPH
	20 Glenlake Pkwy, Atlanta, GA 30328-3473
	(404) 364-7285
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lillian Kim Ivansco
Gender	Female
Speciality	Diagnostic Radiology
Experience	17 Years
Location	20 Glenlake Pkwy, Atlanta, Georgia
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 Lillian Kim Ivansco attended and graduated from Emory University School Of Medicine in 2008

NPI Data:

NPI Number: 1043478605
Provider Enumeration Date: 05/29/2008
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 5991945859
Enrollment ID: I20130717000616

Medical Identifiers

Medical identifiers for Dr Lillian Kim Ivansco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043478605	NPI	-	NPPES
10026277500	Medicaid	NE
10026277600	Medicaid	NE
10026277700	Medicaid	NE
10026277300	Medicaid	NE
10026277400	Medicaid	NE
10026277800	Medicaid	NE
1043478605	Medicaid	IA
66229006	Medicaid	NM
929695	Medicaid	AZ
1043478605	Medicaid	WY
1043478605	Medicaid	UT
1043478605	Medicaid	MT
201098570A	Medicaid	KS
10025709000	Medicaid	NE
79754571	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD17668 (Hawaii)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	04-37114 (Kansas)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	27713 (Nebraska)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	53370 (Colorado)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	069869 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Southeast Permanente Medical Group	6204829013	660

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 Lillian Kim Ivansco allows following entities to bill medicare on her behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

Entity Name	Emory Medical Care Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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 Lillian Kim Ivansco 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 Lillian Kim Ivansco, MD, MPH 3495 Piedmont Rd Ne, Atlanta, GA 30305-1717 Ph: (404) 364-7285	Dr Lillian Kim Ivansco, MD, MPH 20 Glenlake Pkwy, Atlanta, GA 30328-3473 Ph: (404) 364-7285

Reviews and Comments

Radiology Doctors in Atlanta, GA

Omar Nabil Kallas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1364 Clifton Road, Department Of Radiology And Imaging Sciences, Atlanta, GA 30322 Phone: 404-778-3900
Dr. Bijan Ghorashi, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 20 Glenlake Parkway, Kaiser Permanente Glenlake Medical, Atlanta, GA 30328 Phone: 404-365-0966 Fax: 606-666-6107
Dr. George Oren Atkinson Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: Emory University Hospital, 1364 Clifton Road, Ne, Atlanta, GA 30322 Phone: 404-785-6547 Fax: 404-785-1216
Dr. Fabio P Esteves, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1364 Clifton Rd Ne Radiology, Atlanta, GA 30322 Phone: 404-778-5586
Amy J Figueroa, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 404-851-8000
Debora Lou Coursey-prah, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1968 Peachtree Rd Nw, Radiology Department, Atlanta, GA 30309 Phone: 404-605-5000
Sachin Parikh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Breast Imaging Center, Winship C, Atlanta, GA 30322 Phone: 404-778-1856 Fax: 404-712-7561

Dr Lillian Kim Ivansco, MD, MPH - Medicare Diagnostic Radiology in Atlanta, GA