Owen R Mcivor, MD is a medicare enrolled "Orthopaedic Surgery" physician in Highland, California. His current practice location is
7000 Boulder Ave, Highland, California. You can reach out to his office (for appointments etc.) via phone at
(909) 862-1191.
Owen R Mcivor is licensed to practice in California (license number G67842) 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 1538108337.
Physician's Profile
| Full Name | Owen R Mcivor |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 7000 Boulder Ave, Highland, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538108337
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 08/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 8224199146
- Enrollment ID: I20081210000141
Medical Identifiers
Medical identifiers for Owen R Mcivor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538108337 | NPI | - | NPPES |
| 00G678420 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | G67842 (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. Owen R Mcivor allows following entities to bill medicare on his behalf.
| Entity Name | Beaver Medical Group P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649503319
PECOS PAC ID: 0547164295
Enrollment ID: O20031124000449 |
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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. Owen R Mcivor 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 |
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Owen R Mcivor, MD
Po Box 10069,
San Bernardino, CA 92423-0069
Ph: (909) 335-4188 | Owen R Mcivor, MD
7000 Boulder Ave,
Highland, CA 92346-3348
Ph: (909) 862-1191 |
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