| Douglas Peter Ivancsits, MD | |
|
2330 Utah Ave Ste 200, El Segundo, CA 90245-4817 | |
| (424) 290-8004 | |
| Not Available |
| Full Name | Douglas Peter Ivancsits |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 17 Years |
| Location | 2330 Utah Ave Ste 200, El Segundo, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437390390 | NPI | - | NPPES |
| 012100700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME110379 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tampa General Hospital | Tampa, FL | Hospital |
| Sarasota Memorial Hospital | Sarasota, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gastro Health, Llc | 2365440567 | 242 |
| Tower Imaging Llc | 2860470077 | 92 |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Entity Name | University Medical Service Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
| Entity Name | Womens Care Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013902923 PECOS PAC ID: 9234031444 Enrollment ID: O20040127000078 |
| Entity Name | Medical Technology Transfer Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104947217 PECOS PAC ID: 1658265079 Enrollment ID: O20040209000360 |
| Entity Name | Tower Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467654244 PECOS PAC ID: 2860470077 Enrollment ID: O20040713000446 |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Entity Name | Gastroenterology Associates Of Pensacola Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235223785 PECOS PAC ID: 2365422664 Enrollment ID: O20040726000423 |
| Entity Name | Gastro Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487767133 PECOS PAC ID: 2365440567 Enrollment ID: O20061127000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Peter Ivancsits, MD 5416 Tybee Island Dr, Apollo Beach, FL 33572-3307 Ph: (813) 928-7954 | Douglas Peter Ivancsits, MD 2330 Utah Ave Ste 200, El Segundo, CA 90245-4817 Ph: (424) 290-8004 |
Mariam Wassef Hanna, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Nicholas D'alesio, DO, MPH Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Dr. David Lewis Lamar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Nisha Rao, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Dustin Lee Meyer, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Christopher Tournade, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Dr. Katie Jo Lester, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 |