Dr Michael E Ivy, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Wallingford, Connecticut. He went to University Of Connecticut School Of Medicine and graduated in 1987 and has 39 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Gaylord Hospital, Inc. and 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 | General Surgery |
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| Experience | 39 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. |
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Medical Education and Training:
- Dr Michael E Ivy attended and graduated from University Of Connecticut School Of Medicine in 1987
NPI Data:
- NPI Number: 1780693630
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 09/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 2961485495
- Enrollment ID: I20040608000126
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 |
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| 2086S0102X | Surgery - Surgical Critical Care | 035224 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gaylord Hospital, Inc. | 1153224191 | 41 |
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 Michael E Ivy allows following entities to bill medicare on his behalf.
| Entity Name | Gaylord Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730137753
PECOS PAC ID: 1153224191
Enrollment ID: O20040128000878 |
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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 |
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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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