Ivan Pivovarov, MD | |
279 Hughes Rd, Madison, AL 35758-1142 | |
(256) 289-1733 | |
Not Available |
Full Name | Ivan Pivovarov |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 38 Years |
Location | 279 Hughes Rd, Madison, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467662148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 29030 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Huntsville Hospital | Huntsville, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Custom Family Care Llc | 6002171717 | 2 |
Entity Name | Custom Family Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053839811 PECOS PAC ID: 6002171717 Enrollment ID: O20180530002326 |
Mailing Address | Practice Location Address |
---|---|
Ivan Pivovarov, MD 279 Hughes Rd, Madison, AL 35758-1142 Ph: (256) 325-0480 | Ivan Pivovarov, MD 279 Hughes Rd, Madison, AL 35758-1142 Ph: (256) 289-1733 |
Kealan O'neill, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 104 Spenryn Dr, Madison, AL 35758 Phone: 256-772-4300 Fax: 256-772-4302 | |
Samuel Waling, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Slaughter Rd Ste A, Madison, AL 35758 Phone: 256-325-3646 Fax: 256-325-3647 | |
Deborah Booher Kolb, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8371 Highway 72 W, Suite 200, Madison, AL 35758 Phone: 256-722-0664 Fax: 256-722-0285 | |
Leelasri Vanguru, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 540 Hughes Rd Ste 10, Madison, AL 35758 Phone: 256-464-2920 Fax: 256-542-3200 | |
Mrs. Valerie Levick Wright, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Slaughter Rd Ste A, Madison, AL 35758 Phone: 256-325-3646 Fax: 256-325-3647 | |
Dr. Caswall C Harrigan Sr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8045 Highway 72 W, Suite 100, Madison, AL 35758 Phone: 256-837-2271 Fax: 256-837-2910 | |
David W Purner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758 Phone: 256-325-4365 Fax: 256-461-0393 |