| Dr Kevin Todd Pavelonis, BADC | |
|
4640 Dixie Hwy, Louisville, KY 40216-2606 | |
| (502) 447-3333 | |
| (502) 447-3387 |
| Full Name | Dr Kevin Todd Pavelonis |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 39 Years |
| Location | 4640 Dixie Hwy, Louisville, Kentucky |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982753257 | NPI | - | NPPES |
| 2437190000 | Other | KY | PASSPORT ADVANTAGE |
| 1122687 | Other | KY | PASSPORT |
| 85036481 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3870 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| D.r. Thomas V. Jacques D.c., Psc | 3577518745 | 3 |
| Provider Name | D.r. Thomas V. Jacques D.c., Psc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871693770 PECOS PAC ID: 3577518745 Enrollment ID: O20050321000772 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Todd Pavelonis, BADC 4640 Dixie Hwy, Louisville, KY 40216-2606 Ph: (502) 447-3333 | Dr Kevin Todd Pavelonis, BADC 4640 Dixie Hwy, Louisville, KY 40216-2606 Ph: (502) 447-3333 |
Total Wellness Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1863 Berry Blvd, Louisville, KY 40215 Phone: 502-364-9995 Fax: 502-364-9905 | |
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