| Ruslan Ivanov, MD | |
|
3600 Washington St, Hollywood, FL 33021 | |
| (954) 966-4500 | |
| Not Available |
| Full Name | Ruslan Ivanov |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 3600 Washington St, Hollywood, Florida |
| 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 |
|---|---|---|---|
| 1578537189 | NPI | - | NPPES |
| 264411800 | Medicaid | FL | |
| P00278579 | Other | FL | RR MCR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0077225 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | ME77225 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Villages Regional Hospital, The | The villages, FL | Hospital |
| Uf Health Leesburg Hospital | Leesburg, FL | Hospital |
| Raulerson Hospital | Okeechobee, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Services Of Fl Llc | 8426413931 | 491 |
| Paragon Emergency Services Llc | 8628153087 | 326 |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
| Entity Name | Polk Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558338574 PECOS PAC ID: 0547241598 Enrollment ID: O20050506000658 |
| Entity Name | Paragon Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Entity Name | Duval Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053645465 PECOS PAC ID: 5991846370 Enrollment ID: O20100107000235 |
| Entity Name | Small Hospital Innovations Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20140715000513 |
| Entity Name | Ridgewood Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750862694 PECOS PAC ID: 6305199597 Enrollment ID: O20181106001193 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Ruslan Ivanov, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Ruslan Ivanov, MD 3600 Washington St, Hollywood, FL 33021 Ph: (954) 966-4500 |
Dr. Timothy M. Burke, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000 | |
Danielle Cohen, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000 | |
Dr. Izidro B. Demoraes, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000 | |
Dr. Donny Perez, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 561-676-3161 | |
Dr. Randy S. Katz, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000 | |
Dr. Louis Anthony Jane, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000 | |
Dr. Andrew C Jones, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000 |