Yuriy Olegovich Ivanov, DO is a medicare enrolled "Pain Medicine - Pain Medicine" physician in New Brunswick, New Jersey. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2013 and has 13 years of diverse experience with area of expertise as Osteopathic Manipulative Medicine. He is a member of the group practice Rutgers Health-rwj Scleroderma Program and his current practice location is
125 Paterson St, New Brunswick, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 235-7661.
Yuriy Olegovich Ivanov is licensed to practice in New Jersey (license number 1790026011) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790026011.
Physician's Profile
| Full Name | Yuriy Olegovich Ivanov |
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| Gender | Male |
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| Speciality | Osteopathic Manipulative Medicine |
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| Experience | 13 Years |
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| Location | 125 Paterson St, New Brunswick, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Yuriy Olegovich Ivanov attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2013
NPI Data:
- NPI Number: 1790026011
- Provider Enumeration Date: 03/12/2013
- Last Update Date: 01/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 4486926631
- Enrollment ID: I20250303002505
Medical Identifiers
Medical identifiers for Yuriy Olegovich Ivanov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790026011 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 276396 (New York) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 1790026011 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rutgers Health-rwj Scleroderma Program | 5193764991 | 342 |
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. Yuriy Olegovich Ivanov allows following entities to bill medicare on his behalf.
| Entity Name | Rutgers Health-rwj Scleroderma Program |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679655781
PECOS PAC ID: 5193764991
Enrollment ID: O20050502000326 |
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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. Yuriy Olegovich Ivanov 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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Yuriy Olegovich Ivanov, DO
1554 Northern Blvd Fl 4,
Manhasset, NY 11030-3053
Ph: (516) 321-6410 | Yuriy Olegovich Ivanov, DO
125 Paterson St,
New Brunswick, NJ 08901-1962
Ph: (732) 235-7661 |
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