Dr Ravi Patrick Padmanabha, DDS is a medicare enrolled "Dentist" provider in Le Roy, New York. His current practice location is
20 Lake St, Le Roy, New York. You can reach out to his office (for appointments etc.) via phone at
(585) 768-6060.
Dr Ravi Patrick Padmanabha is licensed to practice in New York (license number 047513) 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 1336345115.
Healthcare Provider's Profile
| Full Name | Dr Ravi Patrick Padmanabha |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 20 Lake St, Le Roy, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336345115
- Provider Enumeration Date: 06/26/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2769700467
- Enrollment ID: I20150409000135
Medical Identifiers
Medical identifiers for Dr Ravi Patrick Padmanabha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336345115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 047513 (New York) | Primary |
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 Ravi Patrick Padmanabha 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 |
|---|
Dr Ravi Patrick Padmanabha, DDS
20 Lake St,
Le Roy, NY 14482-1046
Ph: (585) 768-6060 | Dr Ravi Patrick Padmanabha, DDS
20 Lake St,
Le Roy, NY 14482-1046
Ph: (585) 768-6060 |
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