Nicole Ludmil Ivanov, MD in Charlotte, NC - Medicare Pediatrics

Nicole Ludmil Ivanov, MD is a medicare enrolled "Pediatrics" physician in Charlotte, North Carolina. Her current practice location is 9908 Couloak Dr, Ste 103, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 801-2025.

Nicole Ludmil Ivanov is licensed to practice in North Carolina (license number 2022-01947) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003376534.

Contact Information

	Nicole Ludmil Ivanov, MD
	9908 Couloak Dr, Ste 103, Charlotte, NC 28216-8678
	(704) 801-2025
	Not Available

Physician's Profile

Full Name	Nicole Ludmil Ivanov
Gender	Female
Speciality	Pediatrics
Location	9908 Couloak Dr, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003376534
Provider Enumeration Date: 03/21/2019
Last Update Date: 12/18/2023

Medicare PECOS Information:

PECOS PAC ID: 8325374259
Enrollment ID: I20190730001768

Medical Identifiers

Medical identifiers for Nicole Ludmil Ivanov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003376534	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2022-01947 (North Carolina)	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. Nicole Ludmil 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
Nicole Ludmil Ivanov, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Nicole Ludmil Ivanov, MD 9908 Couloak Dr, Ste 103, Charlotte, NC 28216-8678 Ph: (704) 801-2025

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Pediatrics Doctors in Charlotte, NC

Kristina Jasmin Harrell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1422
Amanda Marie Sebring, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840
Fnu Pardeep, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277 Phone: 704-667-2600
Dr. Kathy Garland Mohanty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 350, Charlotte, NC 28210 Phone: 704-384-8600 Fax: 704-384-8610
Dr. Meredith Givens Pochick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3129 Springbank Ln Ste 100, Charlotte, NC 28226 Phone: 704-384-5151 Fax: 704-316-2905
Donald Shelton Chapman Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 231 S Sharon Amity Rd, Charlotte, NC 28211 Phone: 704-304-6400

Nicole Ludmil Ivanov, MD - Medicare Pediatrics in Charlotte, NC