Mr Ivan Vivanco, APRN - Medicare Nurse Practitioner in Doral, FL

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Mr Ivan Vivanco, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Doral, Florida. His current practice location is 9655 Nw 41st St, Doral, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 436-1563.

Mr Ivan Vivanco is licensed to practice in Florida (license number APRN9455497) 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 1114418878.

Contact Information

Mr Ivan Vivanco, APRN
9655 Nw 41st St,
Doral, FL 33178-2973
(305) 436-1563
(305) 436-1564

Map and Direction




Provider's Profile

Full NameMr Ivan Vivanco
GenderMale
SpecialityNurse Practitioner - Pediatrics
Location9655 Nw 41st St, Doral, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114418878
  • Provider Enumeration Date: 05/29/2018
  • Last Update Date: 12/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9739540071
  • Enrollment ID: I20230802002283

Medical Identifiers

Medical identifiers for Mr Ivan Vivanco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114418878NPI-NPPES
104828000MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics APRN9455497 (Florida)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. Mr Ivan Vivanco allows following entities to bill medicare on his behalf.
Entity NameNova Medical Services - Cardiology Division Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467157347
PECOS PAC ID: 0244696581
Enrollment ID: O20230511003095

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. Mr Ivan Vivanco 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 AddressPractice Location Address
Mr Ivan Vivanco, APRN
900 S Pine Island Rd Ste 800,
Plantation, FL 33324-3923

Ph: (305) 436-1563		Mr Ivan Vivanco, APRN
9655 Nw 41st St,
Doral, FL 33178-2973

Ph: (305) 436-1563

Reviews and Comments


Nurse Practitioner Nurses in Doral, FL

Carlos Hernandez Vazquez,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9250 Nw 36th St Ste 420, Doral, FL 33178
Phone: 305-266-2929    
Axis Morales Fernandez, IMG, MSN, FNP - BC
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Medicare: Medicare Enrolled
Practice Location: 9250 Nw 25th St, Doral, FL 33172
Phone: 786-597-4951    
Ivania G Castillo, APRN
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Medicare: Medicare Enrolled
Practice Location: 8175 Nw 12th St Ste 306, Doral, FL 33126
Phone: 305-575-3800    Fax: 305-470-5846
Jovina Morales, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8175 Nw 12th St Ste 306, Doral, FL 33126
Phone: 786-845-0164    Fax: 305-470-5846
Joel Luis Polanco, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Nw 87th Ave Ste 101, Doral, FL 33172
Phone: 844-665-4827    
Alina Padron Rodriguez, MSN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9250 Nw 36th St Ste 420, Doral, FL 33178
Phone: 305-266-2929    Fax: 305-406-9478
Dr. Arisleidy Morejon Romero, AGACNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2801 Nw 79th Ave, Doral, FL 33122
Phone: 305-239-6027    Fax: 305-239-6037

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.