Mrs Johanna Ivich, NNP-BC is a medicare enrolled "Nurse Practitioner - Neonatal" physician in Tampa, Florida. She graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
3100 E Fletcher Ave, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 467-4770.
Mrs Johanna Ivich is licensed to practice in Florida (license number APRN9363820) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1952746703.
Physician's Profile
| Full Name | Mrs Johanna Ivich |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 3100 E Fletcher Ave, Tampa, Florida |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Johanna Ivich graduated from medical school in 2013
NPI Data:
- NPI Number: 1952746703
- Provider Enumeration Date: 05/07/2013
- Last Update Date: 02/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 9830612126
- Enrollment ID: I20250327001109
Medical Identifiers
Medical identifiers for Mrs Johanna Ivich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952746703 | NPI | - | NPPES |
| 100145500 | Medicaid | FL | |
| AL8JF | Other | FL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | ARNP9363820 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | ARNP9363820 (Florida) | Secondary |
| 363LN0005X | Nurse Practitioner - Neonatal, Critical Care | ARNP9363820 (Florida) | Secondary |
| 363LN0000X | Nurse Practitioner - Neonatal | APRN9363820 (Florida) | 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. Mrs Johanna Ivich allows following entities to bill medicare on her behalf.
| Entity Name | Florida Hospital Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225034234
PECOS PAC ID: 0749186153
Enrollment ID: O20031208000807 |
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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. Mrs Johanna Ivich 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 |
|---|
Mrs Johanna Ivich, NNP-BC
Po Box 917770,
Orlando, FL 32891-0001
Ph: (813) 974-2201 | Mrs Johanna Ivich, NNP-BC
3100 E Fletcher Ave,
Tampa, FL 33613-4613
Ph: (813) 467-4770 |
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