Dr Ivan Alexander Escudero, MD - Medicare Family Medicine in Leitchfield, KY

  1. Home
  2. Family Medicine
  3. KY
  4. Leitchfield
Dr Ivan Alexander Escudero, MD is a medicare enrolled "Family Medicine" physician in Leitchfield, Kentucky. His current practice location is 912 Wallace Ave Ste 102, Leitchfield, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 259-8888.

Dr Ivan Alexander Escudero is licensed to practice in Kentucky (license number 57355) 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 1427679935.

Contact Information

Dr Ivan Alexander Escudero, MD
912 Wallace Ave Ste 102,
Leitchfield, KY 42754-2405
(270) 259-8888
(270) 259-8887

Map and Direction




Physician's Profile

Full NameDr Ivan Alexander Escudero
GenderMale
SpecialityFamily Medicine
Location912 Wallace Ave Ste 102, Leitchfield, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427679935
  • Provider Enumeration Date: 05/06/2020
  • Last Update Date: 04/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1052735800
  • Enrollment ID: I20230901002048

Medical Identifiers

Medical identifiers for Dr Ivan Alexander Escudero such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427679935NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 57355 (Kentucky)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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 Alexander Escudero allows following entities to bill medicare on his behalf.
Entity NameOwensboro Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235518242
PECOS PAC ID: 0648255034
Enrollment ID: O20040621000818

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 Alexander Escudero 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 Alexander Escudero, MD
Po Box 23229,
Owensboro, KY 42304-3229

Ph: (270) 688-1330		Dr Ivan Alexander Escudero, MD
912 Wallace Ave Ste 102,
Leitchfield, KY 42754-2405

Ph: (270) 259-8888

Reviews and Comments


Family Medicine Doctors in Leitchfield, KY

Kenneth E Green, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1895 Elizabethtown Rd, Leitchfield, KY 42754
Phone: 270-230-0182    Fax: 270-230-0014
Dr. Isaac David Miller, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 908 Wallace Ave, Leitchfield, KY 42754
Phone: 270-230-0124    Fax: 270-230-0157
Ray J Begay,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 Mill St, Leitchfield, KY 42754
Phone: 270-259-0352    Fax: 270-287-0157
Dr. Charles D Jarboe, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 912 Wallace Ave, Suite 103, Leitchfield, KY 42754
Phone: 270-230-8200    Fax: 270-230-0882
Dr. Gay Fulkerson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 310 S Main St, Leitchfield, KY 42754
Phone: 270-259-9633    Fax: 270-259-0061

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.