Louis Albert Ivey Iii, MD in San Leandro, CA

Louis Albert Ivey Iii, MD is a medicare enrolled "Surgery" physician in San Leandro, California. His current practice location is 2500 Merced St, San Leandro, California. You can reach out to his office (for appointments etc.) via phone at (510) 454-1000.

Louis Albert Ivey Iii is licensed to practice in California (license number G76248) 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 1932287794.

Contact Information

	Louis Albert Ivey Iii, MD
	2500 Merced St, San Leandro, CA 94577-4201
	(510) 454-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Louis Albert Ivey Iii
Gender	Male
Speciality	Surgery
Location	2500 Merced St, San Leandro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932287794
Provider Enumeration Date: 11/01/2006
Last Update Date: 09/09/2022

Medicare PECOS Information:

PECOS PAC ID: 7911189618
Enrollment ID: I20110316000399

Medical Identifiers

Medical identifiers for Louis Albert Ivey Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932287794	NPI	-	NPPES
00G762480	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	G76248 (California)	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. Louis Albert Ivey Iii allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	East Bay Cardiovascular And Thoracic Associates Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073647202 PECOS PAC ID: 9032290770 Enrollment ID: O20080118000426

Entity Name	Cep America - Auc Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568861524 PECOS PAC ID: 9537481692 Enrollment ID: O20141201002085

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. Louis Albert Ivey Iii 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
Louis Albert Ivey Iii, MD 1320 El Capitan Dr, Ste 120, Danville, CA 94526-6260 Ph: (925) 334-5800	Louis Albert Ivey Iii, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000

Reviews and Comments

Surgery Doctors in San Leandro, CA

Dr. Lamont D Paxton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13851 E 14th St, Suite 202, San Leandro, CA 94578 Phone: 510-347-4700 Fax: 510-347-4712
Mr. Daniel Bradley Allen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13847 East 14th Street, Suite 109, San Leandro, CA 94578 Phone: 510-357-7141 Fax: 510-357-4274
Donato Joseph Stinghen, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 13851 E 14th St Ste 202, San Leandro, CA 94578 Phone: 510-347-4700 Fax: 510-347-4712
Sara Jamie Reinganum, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13847 East 14th Street, Suite 109, San Leandro, CA 94578 Phone: 510-357-7141 Fax: 510-357-4274
Brian Walker, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 13847 E 14th St, Suite 118, San Leandro, CA 94578 Phone: 510-352-8400
Kian Mostafavi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 937-208-4286
Dr. Robert O. Gingery, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13851 E 14th St, Suite 202, San Leandro, CA 94578 Phone: 510-347-4700 Fax: 510-347-4712

Louis Albert Ivey Iii, MD - Medicare Surgery in San Leandro, CA