Lisa Marie Ivanjack, MD in Bothell, WA - Medicare Internal Medicine

Lisa Marie Ivanjack, MD is a medicare enrolled "Internal Medicine" physician in Bothell, Washington. Her current practice location is 1909 214th St Se Ste 300, Bothell, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 412-7200.

Lisa Marie Ivanjack is licensed to practice in Washington (license number MD00038351) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972541878.

Contact Information

	Lisa Marie Ivanjack, MD
	1909 214th St Se Ste 300, Bothell, WA 98021
	(425) 412-7200
	Not Available

Map and Direction

Physician's Profile

Full Name	Lisa Marie Ivanjack
Gender	Female
Speciality	Internal Medicine
Location	1909 214th St Se Ste 300, Bothell, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972541878
Provider Enumeration Date: 06/03/2006
Last Update Date: 09/24/2019

Medicare PECOS Information:

PECOS PAC ID: 8820990468
Enrollment ID: I20040123000306

Medical Identifiers

Medical identifiers for Lisa Marie Ivanjack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972541878	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD00038351 (Washington)	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. Lisa Marie Ivanjack allows following entities to bill medicare on her behalf.

Entity Name	Pacmed Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013061217 PECOS PAC ID: 2466350657 Enrollment ID: O20031226000033

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. Lisa Marie Ivanjack 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
Lisa Marie Ivanjack, MD 1909 214th St Se Ste 300, Bothell, WA 98021-4418 Ph: (425) 412-7200	Lisa Marie Ivanjack, MD 1909 214th St Se Ste 300, Bothell, WA 98021 Ph: (425) 412-7200

Reviews and Comments

Internal Medicine Doctors in Bothell, WA

Dr. Ruth A. Freeman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1908 201st Pl Se Ste 100, Bothell, WA 98012 Phone: 425-219-4720 Fax: 425-949-7059
Dr. Parul Sharma, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se, Bothell, WA 98021 Phone: 425-412-7200
Shiquan Liu, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10701 E Riverside Dr, Apt# 2, Bothell, WA 98011 Phone: 917-302-4077
Jody M Rhoades, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se, Suite 300, Bothell, WA 98021 Phone: 425-412-7200 Fax: 425-412-7281
Kent William Blakely, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se Ste 211, Bothell, WA 98021 Phone: 425-248-2626
Dr. Kerlan Peter Wolsey, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se Ste 300, Bothell, WA 98021 Phone: 425-412-7200
Diane Doerner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se, Suite 211, Bothell, WA 98021 Phone: 425-420-1648 Fax: 425-420-1649

Lisa Marie Ivanjack, MD - Medicare Internal Medicine in Bothell, WA