Douglas John Ivins, MD in Tulsa, OK - Medicare Family Medicine

Douglas John Ivins, MD is a medicare enrolled "Family Medicine" physician in Tulsa, Oklahoma. His current practice location is 1111 S St Louis Ave, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 619-4600.

Douglas John Ivins is licensed to practice in Oklahoma (license number 23164) 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 1023080090.

Contact Information

	Douglas John Ivins, MD
	1111 S St Louis Ave, Tulsa, OK 74120
	(918) 619-4600
	(918) 619-4601

Physician's Profile

Full Name	Douglas John Ivins
Gender	Male
Speciality	Family Medicine
Location	1111 S St Louis Ave, Tulsa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023080090
Provider Enumeration Date: 02/03/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3375449267
Enrollment ID: I20031210001141

Medical Identifiers

Medical identifiers for Douglas John Ivins such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023080090	NPI	-	NPPES
20001760C	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	23164 (Oklahoma)	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. Douglas John Ivins 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
Douglas John Ivins, MD Po Box 268838, Oklahoma City, OK 73126-8838 Ph: (918) 660-3632	Douglas John Ivins, MD 1111 S St Louis Ave, Tulsa, OK 74120 Ph: (918) 619-4600

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Family Medicine Doctors in Tulsa, OK

Eric Sandoval, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1111 South St.louis Ave, Tulsa, OK 74120 Phone: 918-619-3395
Dr. Robert Capehart, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1110 E 18th St, Tulsa, OK 74120 Phone: 918-361-2771
Dr. Terence E Grewe, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3316 E 21st St, Suite A, Tulsa, OK 74114 Phone: 918-749-3533 Fax: 918-749-9789
Brian Crotty, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 S Wheeling Ave, Ll 100, Tulsa, OK 74104 Phone: 918-748-7890 Fax: 918-403-6300
Charles C Powell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7501 Riverside Pkwy, Tulsa, OK 74136 Phone: 918-710-4200 Fax: 918-403-6331
Jess T Roy, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 7912 E 31st Ct, Suite 220, Tulsa, OK 74145 Phone: 918-743-8200 Fax: 918-743-8609
Dr. Robert Leroy Winter, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3140 S Lewis Pl, Tulsa, OK 74105 Phone: 918-749-1396

Douglas John Ivins, MD - Medicare Family Medicine in Tulsa, OK