Jacob Ivey, DPM - Medicare Podiatrist in Winter Garden, FL

Jacob Ivey, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Winter Garden, Florida. His current practice location is 15815 Shaddock Dr Ste 130, Winter Garden, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 605-2321.

Jacob Ivey is licensed to practice in Florida (license number PO4464) 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 1891374302.

Contact Information

Jacob Ivey, DPM
15815 Shaddock Dr Ste 130,
Winter Garden, FL 34787-5773
(407) 605-2321
(407) 671-4155

Map and Direction




Healthcare Provider's Profile

Full NameJacob Ivey
GenderMale
SpecialityPodiatrist - Foot & Ankle Surgery
Location15815 Shaddock Dr Ste 130, Winter Garden, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891374302
  • Provider Enumeration Date: 04/03/2021
  • Last Update Date: 08/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769891613
  • Enrollment ID: I20240514003841

Medical Identifiers

Medical identifiers for Jacob Ivey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891374302NPI-NPPES
16150857OtherCAQH
YC4QHOtherFLBCBS FL BLUE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist PO4464 (Florida)Secondary
213EP1101XPodiatrist - Primary Podiatric Medicine PO4464 (Florida)Secondary
213ES0131XPodiatrist - Foot Surgery PO4464 (Florida)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery PO4464 (Florida)Primary

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. Jacob Ivey 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
Jacob Ivey, DPM
15815 Shaddock Dr Ste 130,
Winter Garden, FL 34787-5773

Ph: (813) 400-1140
Jacob Ivey, DPM
15815 Shaddock Dr Ste 130,
Winter Garden, FL 34787-5773

Ph: (407) 605-2321

Reviews and Comments


Podiatrist in Winter Garden, FL

Upperline Healthcare, Pc
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Roma Patel, DPM
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Andres M Perez, DPM
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Practice Location: 15805 Shaddock Dr Ste B, Winter Garden, FL 34787
Phone: 407-423-1234    
Modern Foot & Ankle
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Medicare: Medicare Enrolled
Practice Location: 15815 Shaddock Dr Ste 130, Winter Garden, FL 34787
Phone: 407-605-2321    Fax: 407-671-4155

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.