Dr Ivan Pedrosa, MD - Medicare Diagnostic Radiology in Dallas, TX

Dr Ivan Pedrosa, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Dallas, Texas. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice University Of Texas Southwestern Medical Center and his current practice location is 5323 Harry Hines Blvd, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 645-0624.

Dr Ivan Pedrosa is licensed to practice in Texas (license number P1580) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366552523.

Contact Information

Dr Ivan Pedrosa, MD
5323 Harry Hines Blvd,
Dallas, TX 75390-7201
(214) 645-0624
Not Available



Physician's Profile

Full NameDr Ivan Pedrosa
GenderMale
SpecialityDiagnostic Radiology
Experience30 Years
Location5323 Harry Hines Blvd, Dallas, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ivan Pedrosa graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1366552523
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 12/16/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9931271780
  • Enrollment ID: I20120120000539

Medical Identifiers

Medical identifiers for Dr Ivan Pedrosa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366552523NPI-NPPES
0715668MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 215378 (Massachusetts)Secondary
2085R0202XRadiology - Diagnostic Radiology P1580 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Parkland Health & Hospital SystemDallas, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Texas Southwestern Medical Center06481882502588

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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. Dr Ivan Pedrosa allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Texas Southwestern Medical Center At Dallas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792

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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. Dr Ivan Pedrosa 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
Dr Ivan Pedrosa, MD
Po Box 845347,
Dallas, TX 75284-5347

Ph: () -
Dr Ivan Pedrosa, MD
5323 Harry Hines Blvd,
Dallas, TX 75390-7201

Ph: (214) 645-0624

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Radiology Doctors in Dallas, TX

Dr. Nhat-long Lam Pham, M.D., PH.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5801 Forest Park Rd, Dallas, TX 75390
Phone: 241-645-7615    Fax: 214-645-7624
Firouzeh Arjmandi, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd., Dallas, TX 75390
Phone: 214-645-3586    
Dr. John Debevits Iv, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-648-3928    
Natalia Cabrera Almonte, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 5323 Harry Hines Blvd # E6112, Dallas, TX 75390
Phone: 214-648-2054    
W Crysup Sory, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 12700 Park Central Dr, Ste 430, Dallas, TX 75251
Phone: 972-239-8902    Fax: 972-661-2551
Jacqueline Tyra Caire, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390
Phone: 469-757-1000    
Dr. Thomas Louis Borok, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 5004 Spyglass Drive, Dallas, TX 75287
Phone: 972-931-1073    Fax: 972-931-1073

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