Dr Richard K Ivey, MD is a medicare enrolled "Surgery" physician in Laurel, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice South Central Clinics, Inc and his current practice location is
1002 Jefferson St, Suite400, Laurel, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 649-7802.
Dr Richard K Ivey is licensed to practice in Mississippi (license number 12509) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790703171.
Physician's Profile
| Full Name | Dr Richard K Ivey |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 35 Years |
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| Location | 1002 Jefferson St, Laurel, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Richard K Ivey attended and graduated from University Of Mississippi School Of Medicine in 1989
NPI Data:
- NPI Number: 1790703171
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 01/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 0941107940
- Enrollment ID: I20031218000545
Medical Identifiers
Medical identifiers for Dr Richard K Ivey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790703171 | NPI | - | NPPES |
| 00114933 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 12509 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| South Central Clinics, Inc | 4385876655 | 100 |
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 Richard K Ivey allows following entities to bill medicare on his behalf.
| Entity Name | Correct Care, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215987441
PECOS PAC ID: 8628980992
Enrollment ID: O20131122000662 |
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| Entity Name | South Central Clinics, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801226287
PECOS PAC ID: 4385876655
Enrollment ID: O20140515000834 |
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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 Richard K Ivey 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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Dr Richard K Ivey, MD
Po Box 247,
Laurel, MS 39441-0247
Ph: (601) 399-6167 | Dr Richard K Ivey, MD
1002 Jefferson St, Suite400,
Laurel, MS 39440-4306
Ph: (601) 649-7802 |
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