Ivy Wicks, MD in Waldorf, MD - Medicare Family Practice

Ivy Wicks, MD is a medicare enrolled "Family Medicine" physician in Waldorf, Maryland. She went to Meharry Medical College School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc and her current practice location is 12070 Old Line Ctr Ste 302, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 645-6667.

Ivy Wicks is licensed to practice in Maryland (license number D0091620) 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 1093247769.

Contact Information

	Ivy Wicks, MD
	12070 Old Line Ctr Ste 302, Waldorf, MD 20602-2567
	(301) 645-6667
	(301) 870-9722

Map and Direction

Physician's Profile

Full Name	Ivy Wicks
Gender	Female
Speciality	Family Practice
Experience	7 Years
Location	12070 Old Line Ctr Ste 302, Waldorf, Maryland
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:

Ivy Wicks attended and graduated from Meharry Medical College School Of Medicine in 2017

NPI Data:

NPI Number: 1093247769
Provider Enumeration Date: 03/31/2017
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 2163786690
Enrollment ID: I20230811003064

Medical Identifiers

Medical identifiers for Ivy Wicks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093247769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	D0091620 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc	3779495858	1628

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. Ivy Wicks allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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. Ivy Wicks 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
Ivy Wicks, MD 12070 Old Line Ctr Ste 302, Waldorf, MD 20602-2567 Ph: (301) 645-6667	Ivy Wicks, MD 12070 Old Line Ctr Ste 302, Waldorf, MD 20602-2567 Ph: (301) 645-6667

Reviews and Comments

Family Medicine Doctors in Waldorf, MD

Stacy O. Ross, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2855 Crain Hwy, Waldorf, MD 20601 Phone: 240-427-1926 Fax: 240-427-1927
Firdous Hasanali Asar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Patricks Dr, Suite 203, Waldorf, MD 20603 Phone: 301-843-0222 Fax: 301-843-0651
Ashley Dunn-kerr, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3225 Crain Hwy, Waldorf, MD 20603 Phone: 301-638-7350 Fax: 301-645-6304
Lachrisa S. Jennings, D.O Family Medicine Medicare: Medicare Enrolled Practice Location: 2855 Crain Hwy, Waldorf, MD 20601 Phone: 240-427-1926
Dainty J Jackson, D. O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11315 Pembrooke Sq Ste 112, Waldorf, MD 20603 Phone: 301-885-3350 Fax: 240-222-3899
Robert Timothy Pace, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12070 Old Line Ctr, Suite 302, Waldorf, MD 20602 Phone: 301-645-6667 Fax: 301-870-9722

Ivy Wicks, MD - Medicare Family Practice in Waldorf, MD