Vadim Anatolyevich Ivanov, MD in Oklahoma City, OK

Vadim Anatolyevich Ivanov, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Oklahoma City, Oklahoma. His current practice location is 1200 Everett Dr, 7fnp, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 271-5215.

Vadim Anatolyevich Ivanov is licensed to practice in Oklahoma (license number 27513) 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 1346577012.

Contact Information

	Vadim Anatolyevich Ivanov, MD
	1200 Everett Dr, 7fnp, Oklahoma City, OK 73104-5047
	(405) 271-5215
	(405) 271-1236

Map and Direction

Physician's Profile

Full Name	Vadim Anatolyevich Ivanov
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	1200 Everett Dr, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346577012
Provider Enumeration Date: 11/17/2009
Last Update Date: 01/26/2011

Medicare PECOS Information:

PECOS PAC ID: 7315081171
Enrollment ID: I20100217000073

Medical Identifiers

Medical identifiers for Vadim Anatolyevich Ivanov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346577012	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	27513 (Oklahoma)	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. Vadim Anatolyevich Ivanov allows following entities to bill medicare on his behalf.

Entity Name	Board Of Regents Of The University Of Oklahoma - Ou Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607

Entity Name	Ou Health Partners Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618

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. Vadim Anatolyevich Ivanov 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
Vadim Anatolyevich Ivanov, MD 1200 Everett Dr, 7fnp, Oklahoma City, OK 73104-5047 Ph: (405) 271-5215	Vadim Anatolyevich Ivanov, MD 1200 Everett Dr, 7fnp, Oklahoma City, OK 73104-5047 Ph: (405) 271-5215

Reviews and Comments

Pediatrics Doctors in Oklahoma City, OK

Elizabeth Clare Kutteh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave # 14000, Oklahoma City, OK 73104 Phone: 405-271-4417
Deepthi Gopinathan Nair, MBBS, DNB PEDIATRICS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Oklahoma City, OK 73104 Phone: 425-655-8633
Mary Anne Mccaffree, MS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Everett Dr, 7th Floor North Pavilion, Oklahoma City, OK 73104 Phone: 405-271-5215 Fax: 405-271-1236
Sandra Jean Gilliland, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Sw 44th St, Oklahoma City, OK 73109 Phone: 405-632-6688 Fax: 405-604-0708
John August Ruth Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Everett Dr Fl 10, Oklahoma City, OK 73104 Phone: 405-271-4417
Samuel Levin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Everett Dr, Oklahoma City, OK 73104 Phone: 405-271-5215
Julie W Lees, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 N Phillips Ave, Suite 6100, Oklahoma City, OK 73104 Phone: 405-271-6827 Fax: 405-271-4418

Vadim Anatolyevich Ivanov, MD - Medicare Pediatrics in Oklahoma City, OK