Ivy Wicks, MD - Medicare Family Practice in Waldorf, MD

Ivy Wicks, MD is a medicare enrolled "Family Medicine" physician in Waldorf, Maryland. She went to Meharry Medical College School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States,inc and her current practice location is 12070 Old Line Ctr Ste 302, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 645-6667.

Ivy Wicks is licensed to practice in Maryland (license number D0091620) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093247769.

Contact Information

Ivy Wicks, MD
12070 Old Line Ctr Ste 302,
Waldorf, MD 20602-2567
(301) 645-6667
(301) 870-9722

Map and Direction




Physician's Profile

Full NameIvy Wicks
GenderFemale
SpecialityFamily Practice
Experience7 Years
Location12070 Old Line Ctr Ste 302, Waldorf, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ivy Wicks attended and graduated from Meharry Medical College School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1093247769
  • Provider Enumeration Date: 03/31/2017
  • Last Update Date: 07/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163786690
  • Enrollment ID: I20230811003064

Medical Identifiers

Medical identifiers for Ivy Wicks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093247769NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine D0091620 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States,inc37794958581673

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. Ivy Wicks allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308

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. Ivy Wicks 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
Ivy Wicks, MD
12070 Old Line Ctr Ste 302,
Waldorf, MD 20602-2567

Ph: (301) 645-6667
Ivy Wicks, MD
12070 Old Line Ctr Ste 302,
Waldorf, MD 20602-2567

Ph: (301) 645-6667

Reviews and Comments


Family Medicine Doctors in Waldorf, MD

Stacy O. Ross, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2855 Crain Hwy, Waldorf, MD 20601
Phone: 240-427-1926    Fax: 240-427-1927
Ashley Dunn-kerr, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3225 Crain Hwy, Waldorf, MD 20603
Phone: 301-638-7350    Fax: 301-645-6304
Lachrisa S. Jennings, D.O
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2855 Crain Hwy, Waldorf, MD 20601
Phone: 240-427-1926    
Dainty J Jackson, D. O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11315 Pembrooke Sq Ste 112, Waldorf, MD 20603
Phone: 301-885-3350    Fax: 240-222-3899
Robert Timothy Pace, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12070 Old Line Ctr, Suite 302, Waldorf, MD 20602
Phone: 301-645-6667    Fax: 301-870-9722
Nauras Hwig, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3581 Old Washington Rd Ste E, Waldorf, MD 20602
Phone: 301-638-5500    

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.