Ivan Patrick Maillard, MD in Philadelphia, PA

Ivan Patrick Maillard, MD is a medicare enrolled "Internal Medicine - Hematology" physician in Philadelphia, Pennsylvania. His current practice location is 3400 Spruce St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 615-0063.

Ivan Patrick Maillard is licensed to practice in Pennsylvania (license number MD423465) 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 1568403269.

Contact Information

	Ivan Patrick Maillard, MD
	3400 Spruce St, Philadelphia, PA 19104-4238
	(215) 615-0063
	(215) 349-8144

Map and Direction

Physician's Profile

Full Name	Ivan Patrick Maillard
Gender	Male
Speciality	Internal Medicine - Hematology
Location	3400 Spruce St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568403269
Provider Enumeration Date: 06/10/2006
Last Update Date: 09/19/2019

Medicare PECOS Information:

PECOS PAC ID: 5395776041
Enrollment ID: I20050823000817

Medical Identifiers

Medical identifiers for Ivan Patrick Maillard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568403269	NPI	-	NPPES
1013530260002	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD423465 (Pennsylvania)	Secondary
207RH0000X	Internal Medicine - Hematology	MD423465 (Pennsylvania)	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 Patrick Maillard allows following entities to bill medicare on his behalf.

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679677975 PECOS PAC ID: 6204730955 Enrollment ID: O20150221000231

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 Patrick Maillard 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 Patrick Maillard, MD 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: (215) 615-0063	Ivan Patrick Maillard, MD 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: (215) 615-0063

Reviews and Comments

Internal Medicine Doctors in Philadelphia, PA

Philippe Olivier Szapary, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Blvd, East Pavilion, 2nd Floor, Philadelphia, PA 19104 Phone: 215-615-4949
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Cherag Daruwala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 E Allegheny Ave, Suite 190b, Philadelphia, PA 19134 Phone: 215-926-3120 Fax: 215-926-3123
Dr. Robert Burke, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Philadelphia, PA 19104 Phone: 215-662-9436 Fax: 215-243-3208
Eva Hassan Alsheik, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 219 N Broad St, 5th Floor, Philadelphia, PA 19107 Phone: 215-762-6071
Dr. Jason Thomas Ackrivo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-614-0871

Ivan Patrick Maillard, MD - Medicare Internal Medicine in Philadelphia, PA