Samuel J Ivan, MD - Medicare Urology in Charlotte, NC

Samuel J Ivan, MD is a medicare enrolled "Urology" physician in Charlotte, North Carolina. His current practice location is 1000 Blythe Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 446-9243.

Samuel J Ivan is licensed to practice in North Carolina (license number 250301) 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 1902366222.

Contact Information

Samuel J Ivan, MD
1000 Blythe Blvd,
Charlotte, NC 28203-5812
(704) 446-9243
Not Available



Physician's Profile

Full NameSamuel J Ivan
GenderMale
SpecialityUrology
Location1000 Blythe Blvd, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902366222
  • Provider Enumeration Date: 03/22/2019
  • Last Update Date: 03/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4880920131
  • Enrollment ID: I20190725000060

Medical Identifiers

Medical identifiers for Samuel J Ivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902366222NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 250301 (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. Samuel J Ivan 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
Samuel J Ivan, MD
2222 Sherwood Ave Apt 32,
Toledo, OH 43614-4363

Ph: (419) 708-3980
Samuel J Ivan, MD
1000 Blythe Blvd,
Charlotte, NC 28203-5812

Ph: (704) 446-9243

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Urology Doctors in Charlotte, NC

Mark J. Makhuli, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1225 Harding Pl, Ste 3100, Charlotte, NC 28204
Phone: 704-355-8686    
Dr. George Albert Dasher, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 10512 Park Rd, Suite 113, Charlotte, NC 28210
Phone: 704-541-8207    
Dr. Craig H Robson, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 335 N Caswell Rd, Charlotte, NC 28204
Phone: 704-384-7980    
Peter Earl Clark, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1021 Morehead Medical Dr, Ste 6100, Charlotte, NC 28204
Phone: 980-442-2000    
Jonathan Pierce Walker, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 1001 Blythe Blvd, Charlotte, NC 28203
Phone: 704-446-5070    
E Matthew Dilizia, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 10660 Park Rd Ste 4100, Charlotte, NC 28210
Phone: 704-541-8207    Fax: 704-540-8288
Dr. Lawrence Andrew Eskew, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 335 N Caswell Rd, Charlotte, NC 28204
Phone: 704-384-7980    Fax: 704-384-7985

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