Mr Gregory P Avellana, PA is a medicare enrolled "Physician Assistant" provider in Columbus, Ohio. His current practice location is
1550 W 5th Ave, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 488-6528.
Mr Gregory P Avellana is licensed to practice in Ohio (license number 50.004338) 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 1710981543.
Healthcare Provider's Profile
Full Name | Mr Gregory P Avellana |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1550 W 5th Ave, Columbus, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710981543
- Provider Enumeration Date: 06/09/2005
- Last Update Date: 01/12/2016
Medicare PECOS Information:
- PECOS PAC ID: 2961533591
- Enrollment ID: I20150728006040
Medical Identifiers
Medical identifiers for Mr Gregory P Avellana such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710981543 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 5107 (Ohio) | Secondary |
363A00000X | Physician Assistant | 50.004338 (Ohio) | 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. Mr Gregory P Avellana 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 |
Mr Gregory P Avellana, PA 1376 Meadow Rd, Columbus, OH 43212-3067 Ph: (614) 485-0112 | Mr Gregory P Avellana, PA 1550 W 5th Ave, Columbus, OH 43212-2495 Ph: (614) 488-6528 |
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