Ivan J Reveron, MD - Medicare Family Medicine in Spokane, WA

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Ivan J Reveron, MD is a medicare enrolled "Family Medicine" physician in Spokane, Washington. His current practice location is 5901 N Lidgerwood St Ste 126, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 434-1990.

Ivan J Reveron is licensed to practice in Washington (license number MD60063800) 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 1750393781.

Contact Information

Ivan J Reveron, MD
5901 N Lidgerwood St Ste 126,
Spokane, WA 99208-1122
(509) 434-1990
(509) 340-8986

Map and Direction




Physician's Profile

Full NameIvan J Reveron
GenderMale
SpecialityFamily Medicine
Location5901 N Lidgerwood St Ste 126, Spokane, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750393781
  • Provider Enumeration Date: 08/11/2006
  • Last Update Date: 07/26/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6002066651
  • Enrollment ID: I20121017000540

Medical Identifiers

Medical identifiers for Ivan J Reveron such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750393781NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD60063800 (Washington)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. Ivan J Reveron allows following entities to bill medicare on his behalf.
Entity NameSea-mar Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811051170
PECOS PAC ID: 7315831161
Enrollment ID: O20040211001210
Entity NameSunnyside Community Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609395060
PECOS PAC ID: 1658280896
Enrollment ID: O20040227000194

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. Ivan J Reveron 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
Ivan J Reveron, MD
203 N Washington St Ste 300,
Spokane, WA 99201-0233

Ph: (509) 444-8888		Ivan J Reveron, MD
5901 N Lidgerwood St Ste 126,
Spokane, WA 99208-1122

Ph: (509) 434-1990

Reviews and Comments


Family Medicine Doctors in Spokane, WA

Edward P. Brow, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 322 W North River Dr, Spokane, WA 99201
Phone: 509-324-6464    
Dr. Arild Lein, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 120 W Mission Ave, Spokane, WA 99201
Phone: 509-326-4343    
Mark Ashley Hart, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 107 E Holland Ave, Spokane, WA 99218
Phone: 509-466-3960    Fax: 509-466-9566
Kelly C. Grieves, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9911 N Nevada St, Spokane, WA 99218
Phone: 509-626-9420    Fax: 509-227-7070
Mr. Philip Roger Henry, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 42 E Rowan Ave, Suite A, Spokane, WA 99207
Phone: 509-483-3155    Fax: 509-483-3270
Dr. Ryan Massoud, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 212 E Central Ave Ste 440, Spokane, WA 99208
Phone: 509-252-9602    Fax: 509-227-7070
Kattrina Michelle Rall, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 624 E Front Ave, Spokane, WA 99202
Phone: 509-626-9900    Fax: 509-626-9920

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.