Autumn Skye Ivy, in Orange, CA - Medicare Psychiatry & Neurology

Autumn Skye Ivy, is a medicare enrolled "Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology" physician in Orange, California. Her current practice location is 1201 W La Veta Ave, Orange, California. You can reach out to her office (for appointments etc.) via phone at (888) 770-2462.

Autumn Skye Ivy is licensed to practice in California (license number A126865) 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 1659638666.

Contact Information

	Autumn Skye Ivy,
	1201 W La Veta Ave, Orange, CA 92868-4203
	(888) 770-2462
	Not Available

Map and Direction

Physician's Profile

Full Name	Autumn Skye Ivy
Gender	Female
Speciality	Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology
Location	1201 W La Veta Ave, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659638666
Provider Enumeration Date: 04/13/2012
Last Update Date: 09/12/2017

Medicare PECOS Information:

PECOS PAC ID: 1557631231
Enrollment ID: I20170728001179

Medical Identifiers

Medical identifiers for Autumn Skye Ivy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659638666	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A126865 (California)	Secondary
2084N0402X	Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology	A126865 (California)	Primary

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. Autumn Skye Ivy allows following entities to bill medicare on her behalf.

Entity Name	Uc Regents Uci Dept Of Pediatrics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235187311 PECOS PAC ID: 5395649222 Enrollment ID: O20031121000860

Entity Name	Children's Hospital Of Orange County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275975104 PECOS PAC ID: 6406944883 Enrollment ID: O20181213000428

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. Autumn Skye Ivy 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
Autumn Skye Ivy, 1201 W La Veta Ave, Orange, CA 92868-4203 Ph: () -	Autumn Skye Ivy, 1201 W La Veta Ave, Orange, CA 92868-4203 Ph: (888) 770-2462

Reviews and Comments

Psychiatry & Neurology Doctors in Orange, CA

Demi Tran, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, City Tower, Suite 400, Orange, CA 92868 Phone: 171-456-6693
Dr. Lawrence Richard Faziola, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Route 88, Orange, CA 92868 Phone: 714-506-0693
Dr. Sharon Kim, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-532-7601
Esther Lee Yang, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1120 W La Veta Ave Ste 660&470, Orange, CA 92868 Phone: 714-509-8210
Dr. Sailaja Golla, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1201 W La Veta Ave, Orange, CA 92868 Phone: 888-770-2462 Fax: 855-246-2329
Dr. Nancy Lee Tran Dom, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-5770
Dr. Andrew Richard Mcintosh, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 The City Dr S, Pediatric Neurology Zot 4482, Orange, CA 92868 Phone: 714-456-5631

Autumn Skye Ivy, - Medicare Psychiatry & Neurology in Orange, CA