Dr Michael E Ivy, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Wallingford, Connecticut. His current practice location is
50 Gaylord Farm Rd, Wallingford, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 284-2800.
Dr Michael E Ivy is licensed to practice in Connecticut (license number 035224) 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 1780693630.
Physician's Profile
Full Name | Dr Michael E Ivy |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 50 Gaylord Farm Rd, Wallingford, Connecticut |
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Accepts Medicare Assignments | Yes. 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 Michael E Ivy attended and graduated from in
NPI Data:
- NPI Number: 1780693630
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 09/03/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Michael E Ivy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780693630 | NPI | - | NPPES |
001352244 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0102X | Surgery - Surgical Critical Care | 035224 (Connecticut) | 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. Dr Michael E 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 |
Dr Michael E Ivy, MD 50 Gaylord Farm Rd, Wallingford, CT 06492-2899 Ph: (203) 284-2800 | Dr Michael E Ivy, MD 50 Gaylord Farm Rd, Wallingford, CT 06492-2899 Ph: (203) 284-2800 |
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