| Ruslan Ivanov, MD | |
|
3600 Washington St, Hollywood, FL 33021 | |
| (954) 966-4500 | |
| Not Available |
| Full Name | Ruslan Ivanov |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| 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 |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME77225 (Florida) | Primary |
| 207P00000X | Emergency Medicine | 103676 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | ME0077225 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uf Health Spanish Plaines Hospital | The villages, FL | Hospital |
| Ascension Sacred Heart Bay | Panama city, FL | Hospital |
| Uf Health Leesburg Hospital | Leesburg, FL | Hospital |
| Hca Florida Raulerson Hospital | Okeechobee, FL | Hospital |
| Marshfield Medical Center | Marshfield, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mchs Hospitals Inc | 5698071173 | 1195 |
| Cep America Llc | 6608056171 | 995 |
| Paragon Emergency Services Llc | 8628153087 | 401 |
| Emergency Medicine Services Of Fl Llc | 8426413931 | 686 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Beaver Dam Community Hospitals Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20040519001426 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700963048 PECOS PAC ID: 9032029871 Enrollment ID: O20070828000478 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20110526000807 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Lakeview Medical Center Inc of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194317966 PECOS PAC ID: 9032029871 Enrollment ID: O20210409000059 |
| 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. Bradley John Schulte, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-673-3793 |
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 |