Dr Ivan Ryota Irie, PSYD - Medicare Psychologist in Fpo, AP

Dr Ivan Ryota Irie, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fpo, Armed Forces Pacific. His current practice location is Psc 475 Box 1, Fpo, Armed Forces Pacific. You can reach out to his office (for appointments etc.) via phone at (315) 243-5171.

Dr Ivan Ryota Irie is licensed to practice in Hawaii (license number 1473) 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 1134334683.

Contact Information

Dr Ivan Ryota Irie, PSYD
Psc 475 Box 1,
Fpo, AP 96350-1200
(315) 243-5171
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Ivan Ryota Irie
GenderMale
SpecialityPsychologist - Clinical
LocationPsc 475 Box 1, Fpo, Armed Forces Pacific
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134334683
  • Provider Enumeration Date: 05/10/2007
  • Last Update Date: 08/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5991029738
  • Enrollment ID: I20150126002274

Medical Identifiers

Medical identifiers for Dr Ivan Ryota Irie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134334683NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 1473 (Hawaii)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. Dr Ivan Ryota Irie allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063515567
PECOS PAC ID: 1850205360
Enrollment ID: O20031119000948

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. Dr Ivan Ryota Irie 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 AddressPractice Location Address
Dr Ivan Ryota Irie, PSYD
Psc 475 Box 1,
Fpo, AP 96350-1200

Ph: () -
Dr Ivan Ryota Irie, PSYD
Psc 475 Box 1,
Fpo, AP 96350-1200

Ph: (315) 243-5171

Reviews and Comments


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