| Dr Joseph J Ivy, MD | |
|
3901 Parkway Cir, Springdale, AR 72762-6362 | |
| (479) 443-4500 | |
| (479) 443-4502 |
| Full Name | Dr Joseph J Ivy |
|---|---|
| Gender | Male |
| Speciality | Gynecological Oncology |
| Experience | 26 Years |
| Location | 3901 Parkway Cir, Springdale, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417977471 | NPI | - | NPPES |
| 1423149 | Medicaid | LA | |
| 1689986606 | Medicaid | MO | |
| 185252001 | Medicaid | AR | |
| 200471960A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 025078 (Louisiana) | Secondary |
| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | E-6436 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Medical Center-springdale | Springdale, AR | Hospital |
| Mercy Hospital Northwest Arkansas | Rogers, AR | Hospital |
| Washington Regional Medical Center | Fayetteville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Highlands Oncology Group Pa | 7416976196 | 74 |
| Entity Name | Highlands Oncology Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346211323 PECOS PAC ID: 7416976196 Enrollment ID: O20051111000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph J Ivy, MD 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 Ph: (479) 587-1700 | Dr Joseph J Ivy, MD 3901 Parkway Cir, Springdale, AR 72762-6362 Ph: (479) 443-4500 |
Serena Michelle Pierson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4301 Greathouse Springs Rd, Suite 100, Springdale, AR 72762 Phone: 479-757-1730 Fax: 479-521-5661 | |
Daniel Gregory Reiter, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5330 Willow Creek Dr, Springdale, AR 72762 Phone: 479-582-9268 Fax: 479-973-9229 | |
Kent A Mason, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5330 Willow Creek Dr, Springdale, AR 72762 Phone: 479-582-9268 Fax: 479-973-9229 | |
Dr. Heather Ann Martinelli, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4301 Greathouse Springs Rd, Ste 100, Springdale, AR 72762 Phone: 479-757-1730 | |
Corrine Maund, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 4301 Willow Creek Dr Ste 100, Springdale, AR 72762 Phone: 479-757-4048 | |
Dr. Lisa Renee Waterman, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5501 Willow Creek Dr Ste 203, Springdale, AR 72762 Phone: 479-757-5552 Fax: 479-757-2942 |