Latonja M Ivery, M D in Wake Forest, NC - Medicare Family Practice

Latonja M Ivery, M D is a medicare enrolled "Family Medicine" physician in Wake Forest, North Carolina. She went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Avance Care Pa and her current practice location is 1001 Stadium Drive, Ste 104, Wake Forest, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 623-5939.

Latonja M Ivery is licensed to practice in North Carolina (license number 2004-01519) 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 1699824607.

Contact Information

	Latonja M Ivery, M D
	1001 Stadium Drive, Ste 104, Wake Forest, NC 27587
	(919) 623-5939
	Not Available

Map and Direction

Physician's Profile

Full Name	Latonja M Ivery
Gender	Female
Speciality	Family Practice
Experience	28 Years
Location	1001 Stadium Drive, Wake Forest, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Latonja M Ivery attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1996

NPI Data:

NPI Number: 1699824607
Provider Enumeration Date: 01/09/2007
Last Update Date: 06/27/2022

Medicare PECOS Information:

PECOS PAC ID: 9830156538
Enrollment ID: I20041214000974

Medical Identifiers

Medical identifiers for Latonja M Ivery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699824607	NPI	-	NPPES
5900011	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2004-01519 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Avance Care Pa	3577634476	208

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. Latonja M Ivery allows following entities to bill medicare on her behalf.

Entity Name	Avance Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487845020 PECOS PAC ID: 3577634476 Enrollment ID: O20080620000196

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. Latonja M Ivery 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
Latonja M Ivery, M D 10900 World Trade Blvd, Raleigh, NC 27617 Ph: (919) 237-1337	Latonja M Ivery, M D 1001 Stadium Drive, Ste 104, Wake Forest, NC 27587 Ph: (919) 623-5939

Reviews and Comments

Family Medicine Doctors in Wake Forest, NC

Dr. Philip D Burton, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 123 Capcom Ave, Suite One, Wake Forest, NC 27587 Phone: 919-554-0177
Tida Lam, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1964 S Main St, Wake Forest, NC 27587 Phone: 919-554-0177 Fax: 919-554-9277
Ben-hwa Hu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 S Main St, Wake Forest, NC 27587 Phone: 919-350-0365
Dr. Manuel Evangelos Bulauitan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1964 S Main St, Wake Forest, NC 27587 Phone: 919-554-0177
Dr. Sherif George Naguib, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6217 Tiffield Way, Wake Forest, NC 27587 Phone: 919-824-0589 Fax: 919-453-0198
Dr. Sanjay D Patel, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11635 Northpark Dr, Wake Forest, NC 27587 Phone: 919-570-6060 Fax: 919-570-0404
Kofi Bruce Mensah, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 851 Durham Road, Suite D, Wake Forest, NC 27587 Phone: 919-554-0900 Fax: 336-784-1116

Latonja M Ivery, M D - Medicare Family Practice in Wake Forest, NC