Dr Jeff Richard Pavell, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Bardonia, New York. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Physical Medicine And Rehabilitation Center Pa, Physical Medicine And Rehabilitation Center Pa and his current practice location is
365 Route 304, Ste 102, Bardonia, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 624-2182.
Dr Jeff Richard Pavell is licensed to practice in New Jersey (license number MB69881) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790769487.
Physician's Profile
| Full Name | Dr Jeff Richard Pavell |
|---|
| Gender | Male |
|---|
| Speciality | Physical Medicine And Rehabilitation |
|---|
| Experience | 30 Years |
|---|
| Location | 365 Route 304, Bardonia, New York |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Jeff Richard Pavell graduated from medical school in 1994
NPI Data:
- NPI Number: 1790769487
- Provider Enumeration Date: 12/06/2005
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769574953
- Enrollment ID: I20100208000006
Medical Identifiers
Medical identifiers for Dr Jeff Richard Pavell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790769487 | NPI | - | NPPES |
| 804550 | Medicaid | NJ | |
| DO7698000 | Other | NJ | CDS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 202584 (New York) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | MB69881 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Physical Medicine And Rehabilitation Center Pa | 1658273750 | 28 |
| Physical Medicine And Rehabilitation Center Pa | 1658273750 | 28 |
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 Jeff Richard Pavell allows following entities to bill medicare on his behalf.
| Entity Name | Physical Medicine And Rehabilitation Center Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1831110469
PECOS PAC ID: 1658273750
Enrollment ID: O20040121000094 |
|---|
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 Jeff Richard Pavell 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 Jeff Richard Pavell, DO
500 Grand Ave,
Englewood, NJ 07631-4967
Ph: (201) 567-2277 | Dr Jeff Richard Pavell, DO
365 Route 304, Ste 102,
Bardonia, NY 10954-1601
Ph: (845) 624-2182 |
Reviews and Comments