Brian Gavan, in Clarksville, TN - Medicare Pediatrics

Brian Gavan, is a medicare enrolled "Pediatrics" physician in Clarksville, Tennessee. His current practice location is 881 Professional Park Dr, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 322-5000.

Brian Gavan is licensed to practice in Tennessee (license number 71293) 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 1871987875.

Contact Information

	Brian Gavan,
	881 Professional Park Dr, Clarksville, TN 37040-5257
	(615) 322-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Brian Gavan
Gender	Male
Speciality	Pediatrics
Location	881 Professional Park Dr, Clarksville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871987875
Provider Enumeration Date: 03/27/2015
Last Update Date: 07/02/2024

Medicare PECOS Information:

PECOS PAC ID: 7719263912
Enrollment ID: I20181210003506

Medical Identifiers

Medical identifiers for Brian Gavan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871987875	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	37524 (Alabama)	Secondary
208000000X	Pediatrics	71293 (Tennessee)	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. Brian Gavan allows following entities to bill medicare on his behalf.

Entity Name	University Of South Alabama
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992746838 PECOS PAC ID: 3072425149 Enrollment ID: O20040115000773

Entity Name	Altapointe Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518095413 PECOS PAC ID: 1052224052 Enrollment ID: O20040206000701

Entity Name	Usa Health Physician Billing Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720645468 PECOS PAC ID: 9931436912 Enrollment ID: O20190814000827

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. Brian Gavan 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
Brian Gavan, 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: (615) 322-5000	Brian Gavan, 881 Professional Park Dr, Clarksville, TN 37040-5257 Ph: (615) 322-5000

Reviews and Comments

Pediatrics Doctors in Clarksville, TN

Dr. Joel F Bradley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2199 Memorial Dr, Clarksville, TN 37043 Phone: 931-245-8400 Fax: 931-245-8465
Megan Guerra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 490 Dunlop Ln, Clarksville, TN 37040 Phone: 931-245-8400
Genevieve Mae Febbraro, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 490 Dunlop Ln, Clarksville, TN 37040 Phone: 931-245-8400
Dr. Barbara A Aquino, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 881 Professional Park Dr, Clarksville, TN 37040 Phone: 931-645-4685 Fax: 931-245-2117
Dr. Shahana Ashraf Choudhury, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Weatherly Dr, Clarksville, TN 37043 Phone: 931-648-1912 Fax: 931-648-1277
William Joel Pedigo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2199 Memorial Dr, Clarksville, TN 37043 Phone: 931-245-8400 Fax: 931-245-7068
Dr. William W Prine, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2199 Memorial Dr, Clarksville, TN 37043 Phone: 931-245-8400 Fax: 931-245-8465

Brian Gavan, - Medicare Pediatrics in Clarksville, TN