Dr Nedyalko Nedyalkov Ivanov, DO in Roswell, GA

Dr Nedyalko Nedyalkov Ivanov, DO is a medicare enrolled "Dermatology" physician in Roswell, Georgia. His current practice location is 2500 Hospital Blvd Ste 280, Roswell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 754-0787.

Dr Nedyalko Nedyalkov Ivanov is licensed to practice in Georgia (license number 98733) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548827710.

Contact Information

	Dr Nedyalko Nedyalkov Ivanov, DO
	2500 Hospital Blvd Ste 280, Roswell, GA 30076-4918
	(770) 754-0787
	(770) 755-5890

Map and Direction

Physician's Profile

Full Name	Dr Nedyalko Nedyalkov Ivanov
Gender	Male
Speciality	Dermatology
Location	2500 Hospital Blvd Ste 280, Roswell, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548827710
Provider Enumeration Date: 05/23/2019
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 0749513034
Enrollment ID: I20230802003609

Medical Identifiers

Medical identifiers for Dr Nedyalko Nedyalkov Ivanov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548827710	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	5101026012 (Michigan)	Secondary
207N00000X	Dermatology	15530 (Georgia)	Secondary
207N00000X	Dermatology	20723 (Florida)	Secondary
207N00000X	Dermatology	98733 (Georgia)	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. Dr Nedyalko Nedyalkov Ivanov allows following entities to bill medicare on his behalf.

Entity Name	Goodman Dermatology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770801144 PECOS PAC ID: 7810029246 Enrollment ID: O20100720000586

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 Nedyalko Nedyalkov 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 Address	Practice Location Address
Dr Nedyalko Nedyalkov Ivanov, DO 2500 Hospital Blvd Ste 280, Roswell, GA 30076-4918 Ph: (770) 754-0787	Dr Nedyalko Nedyalkov Ivanov, DO 2500 Hospital Blvd Ste 280, Roswell, GA 30076-4918 Ph: (770) 754-0787

Reviews and Comments

Dermatology Doctors in Roswell, GA

Kiley Katherine Fagan, MD Dermatology Medicare: Medicare Enrolled Practice Location: 775 Aronson Lake Ct, Roswell, GA 30075 Phone: 770-296-3795
Dr. Judith Lila Silverstein, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076 Phone: 770-751-1133 Fax: 770-751-7410
Dr. Heather Hensley Ivy, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Blvd Ste 280, Roswell, GA 30076 Phone: 770-754-0787
Dr. Josh A Hammel, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Blvd Ste 280, Roswell, GA 30076 Phone: 770-754-0787 Fax: 770-755-5890
Dr. Michael Scott Fisher, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076 Phone: 770-751-1133 Fax: 770-751-7410
Dr. Eugene Sanik, D.O. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2500 Hospital Blvd, Suite 280, Roswell, GA 30076 Phone: 770-754-0787 Fax: 866-763-0787
Dr. Kevin S Berman, M.D, , PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1265 Upper Hembree Rd, Ste 100, Roswell, GA 30076 Phone: 770-751-1133 Fax: 770-751-7410

Dr Nedyalko Nedyalkov Ivanov, DO - Medicare Dermatology in Roswell, GA