Dr Ilya Ivanov, DO - Medicare Psychiatry in Mount Laurel, NJ

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Dr Ilya Ivanov, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Mount Laurel, New Jersey. He went to Rowan University School Of Osteopathic Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Virtua Medical Group, Pa and his current practice location is 100 Century Pkwy Ste 350, Mount Laurel, New Jersey. You can reach out to his office (for appointments etc.) via phone at (856) 482-9000.

Dr Ilya Ivanov is licensed to practice in New Jersey (license number 025MB8329500) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487848149.

Contact Information

Dr Ilya Ivanov, DO
100 Century Pkwy Ste 350,
Mount Laurel, NJ 08054-1149
(856) 482-9000
(856) 482-1159

Map and Direction




Physician's Profile

Full NameDr Ilya Ivanov
GenderMale
SpecialityPsychiatry
Experience20 Years
Location100 Century Pkwy Ste 350, Mount Laurel, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ilya Ivanov attended and graduated from Rowan University School Of Osteopathic Medicine in 2005
  NPI Data:
  • NPI Number: 1487848149
  • Provider Enumeration Date: 09/05/2007
  • Last Update Date: 03/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476691981
  • Enrollment ID: I20091103000470

Medical Identifiers

Medical identifiers for Dr Ilya Ivanov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487848149NPI-NPPES
P00772213OtherNJRAILROAD MEDICARE
0211699MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 025MB8329500 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jefferson Stratford HospitalStratford, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Virtua Medical Group, Pa98302223971498

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 Ilya Ivanov allows following entities to bill medicare on his behalf.
Entity NameRowansom Dept Of Psychiatry
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689644122
PECOS PAC ID: 4486647708
Enrollment ID: O20040405000333
Entity NameOaks Integrated Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255427647
PECOS PAC ID: 6709961857
Enrollment ID: O20080313000127
Entity NameVirtua Medical Group, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649226515
PECOS PAC ID: 9830222397
Enrollment ID: O20100804000338

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 Ilya 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 AddressPractice Location Address
Dr Ilya Ivanov, DO
100 Century Pkwy Ste 350,
Mount Laurel, NJ 08054-1149

Ph: (856) 482-9000		Dr Ilya Ivanov, DO
100 Century Pkwy Ste 350,
Mount Laurel, NJ 08054-1149

Ph: (856) 482-9000

Reviews and Comments


Psychiatry & Neurology Doctors in Mount Laurel, NJ

Maria C Carta, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 25 Lexington Ct, Mount Laurel, NJ 08054
Phone: 609-567-6042    Fax: 609-567-2722
Dr. Luke Hansen,
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054
Phone: 856-482-9000    
Dr. Michael J. Friedman, D.O.
Psychiatry & Neurology
Medicare: May Accept Medicare Assignments
Practice Location: 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054
Phone: 856-482-9000    Fax: 856-482-1159
Dr. Helen H. Yi, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054
Phone: 856-482-9000    Fax: 856-482-1159
Salvatore Montana Messina, DO
Psychiatry & Neurology
Medicare: May Accept Medicare Assignments
Practice Location: 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054
Phone: 856-482-9000    Fax: 856-482-1159
Christie Sleigher Richardson, DO
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054
Phone: 404-889-4990    
Dr. James J. Rogers, D.O.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054
Phone: 856-482-9000    Fax: 856-482-1159

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.