Dr Carol Colleen Kavanaugh, DO is a medicare enrolled "Internal Medicine" physician in Orland, California. She graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Evanston Clinic Corp and her current practice location is
123 E Walker St, Orland, California. You can reach out to her office (for appointments etc.) via phone at
(530) 865-3400.
Dr Carol Colleen Kavanaugh is licensed to practice in California (license number 20A7152) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689649444.
Physician's Profile
| Full Name | Dr Carol Colleen Kavanaugh |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 43 Years |
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| Location | 123 E Walker St, Orland, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Carol Colleen Kavanaugh graduated from medical school in 1981
NPI Data:
- NPI Number: 1689649444
- Provider Enumeration Date: 02/22/2006
- Last Update Date: 06/03/2015
Medicare PECOS Information:
- PECOS PAC ID: 1052355088
- Enrollment ID: I20121119000441
Medical Identifiers
Medical identifiers for Dr Carol Colleen Kavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689649444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 20A7152 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Evanston Clinic Corp | 8325038094 | 21 |
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 Carol Colleen Kavanaugh allows following entities to bill medicare on her behalf.
| Entity Name | Evanston Clinic Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013916519
PECOS PAC ID: 8325038094
Enrollment ID: O20040514000481 |
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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 Carol Colleen Kavanaugh 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 |
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Dr Carol Colleen Kavanaugh, DO
123 E Walker St,
Orland, CA 95963-1525
Ph: (530) 865-3400 | Dr Carol Colleen Kavanaugh, DO
123 E Walker St,
Orland, CA 95963-1525
Ph: (530) 865-3400 |
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