Ivan Dedrick Gavin Hamilton, MD in San Francisco, CA

Ivan Dedrick Gavin Hamilton, MD is a medicare enrolled "Internal Medicine" physician in San Francisco, California. His current practice location is 2351 Clay St, Suite 308, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (415) 600-3458.

Ivan Dedrick Gavin Hamilton is licensed to practice in California (license number A104632) 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 1669421202.

Contact Information

	Ivan Dedrick Gavin Hamilton, MD
	2351 Clay St, Suite 308, San Francisco, CA 94115-1931
	(415) 600-3458
	(415) 600-3451

Map and Direction

Physician's Profile

Full Name	Ivan Dedrick Gavin Hamilton
Gender	Male
Speciality	Internal Medicine
Location	2351 Clay St, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669421202
Provider Enumeration Date: 05/10/2006
Last Update Date: 05/28/2021

Medicare PECOS Information:

PECOS PAC ID: 1052344934
Enrollment ID: I20081119000205

Medical Identifiers

Medical identifiers for Ivan Dedrick Gavin Hamilton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669421202	NPI	-	NPPES
408417900	Medicaid	MD
AV608Z	Other	CA	MEDICARE PTAN
1669421202	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	D63437 (Maryland)	Secondary
207R00000X	Internal Medicine	A104632 (California)	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 Dedrick Gavin Hamilton allows following entities to bill medicare on his behalf.

Entity Name	Hospitalists Of Modesto Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821190711 PECOS PAC ID: 2567360027 Enrollment ID: O20031222000781

Entity Name	Galen Inpatient Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689320459 PECOS PAC ID: 3678464633 Enrollment ID: O20040322000680

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 Dedrick Gavin Hamilton 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
Ivan Dedrick Gavin Hamilton, MD 1700 Mchenry Ave, Ste 65b259, Modesto, CA 95350-4373 Ph: (209) 579-5628	Ivan Dedrick Gavin Hamilton, MD 2351 Clay St, Suite 308, San Francisco, CA 94115-1931 Ph: (415) 600-3458

Reviews and Comments

Internal Medicine Doctors in San Francisco, CA

Dr. Shannon Walker, Internal Medicine Medicare: Medicare Enrolled Practice Location: 112 Parnassus Ave Apt 4, San Francisco, CA 94117 Phone: 571-271-8343
Dr. Pratyusha Kishore Narra, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3490 California St, San Francisco, CA 94118 Phone: 415-514-6200 Fax: 415-514-6410
Dr. Chelsea Joy Thomsen, M.D., M.S.P.H Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 W Portal Ave, San Francisco, CA 94127 Phone: 415-291-0480
Christine Soran, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1001 Potrero Ave, Bldg 10, 3rd Floor, Ward 13, Ucsf Division Of General Internal Medicine Sfgh, San Francisco, CA 94110 Phone: 415-206-5164 Fax: 415-206-5586
Stephen Norris Cohen, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 40 Ventura Ave, San Francisco, CA 94116 Phone: 415-681-2171 Fax: 415-681-2171
Mauricio Jalife Bucay, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 505 Parnassus Ave, San Francisco, CA 94143 Phone: 415-750-4994 Fax: 415-750-8156
Dr. Adriana A.t. Martin, M.D., PH.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 505 Parnassus Ave, San Francisco, CA 94143 Phone: 415-514-7288

Ivan Dedrick Gavin Hamilton, MD - Medicare Internal Medicine in San Francisco, CA