Kaitlyn N Ivanov, PT in Portsmouth, NH - Medicare Physical Therapy Provider

Kaitlyn N Ivanov, PT is a medicare enrolled "Physical Therapist" provider in Portsmouth, New Hampshire. She graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice The Lovelace Institute For Spine And Sports Injuries Incorporated and her current practice location is 12 Portwalk Pl, Portsmouth, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 431-4200.

Kaitlyn N Ivanov is licensed to practice in New Hampshire (license number 4317) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1275967713.

Contact Information

	Kaitlyn N Ivanov, PT
	12 Portwalk Pl, Portsmouth, NH 03801
	(603) 431-4200
	(603) 431-4202

Map and Direction

Healthcare Provider's Profile

Full Name	Kaitlyn N Ivanov
Gender	Female
Speciality	Physical Therapy
Experience	12 Years
Location	12 Portwalk Pl, Portsmouth, New Hampshire
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kaitlyn N Ivanov graduated from medical school in 2013

NPI Data:

NPI Number: 1275967713
Provider Enumeration Date: 08/31/2013
Last Update Date: 09/09/2019

Medicare PECOS Information:

PECOS PAC ID: 0446481535
Enrollment ID: I20180607000204

Medical Identifiers

Medical identifiers for Kaitlyn N Ivanov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275967713	NPI	-	NPPES
3116508	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4317 (New Hampshire)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Lovelace Institute For Spine And Sports Injuries Incorporated	5294043832	8

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. Kaitlyn N Ivanov allows following entities to bill medicare on her behalf.

Provider Name	The Lovelace Institute For Spine And Sports Injuries Incorporated
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073869830 PECOS PAC ID: 5294043832 Enrollment ID: O20151001001940

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. Kaitlyn N 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
Kaitlyn N Ivanov, PT 12 Portwalk Pl, Portsmouth, NH 03801-4086 Ph: (603) 431-4200	Kaitlyn N Ivanov, PT 12 Portwalk Pl, Portsmouth, NH 03801 Ph: (603) 431-4200

Reviews and Comments

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Kaitlyn N Ivanov, PT - Medicare Physical Therapist in Portsmouth, NH