Dr Larisa P Gavrilova-jordan, MD in Augusta, GA - Medicare Obstetrics/gynecology

Dr Larisa P Gavrilova-jordan, MD is a medicare enrolled "Obstetrics & Gynecology - Reproductive Endocrinology" physician in Augusta, Georgia. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Au Medical Associates Inc and her current practice location is 1120 15th St, Augusta, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 724-6100.

Dr Larisa P Gavrilova-jordan is licensed to practice in Georgia (license number 70748) 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 1003895780.

Contact Information

	Dr Larisa P Gavrilova-jordan, MD
	1120 15th St, Augusta, GA 30912-0004
	(706) 724-6100
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Larisa P Gavrilova-jordan
Gender	Female
Speciality	Obstetrics/gynecology
Experience	26 Years
Location	1120 15th St, Augusta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Larisa P Gavrilova-jordan graduated from medical school in 1998

NPI Data:

NPI Number: 1003895780
Provider Enumeration Date: 01/11/2006
Last Update Date: 06/24/2019

Medicare PECOS Information:

PECOS PAC ID: 4981677028
Enrollment ID: I20131023001717

Medical Identifiers

Medical identifiers for Dr Larisa P Gavrilova-jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003895780	NPI	-	NPPES
5909224	Medicaid	NC
891448600	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VE0102X	Obstetrics & Gynecology - Reproductive Endocrinology	70748 (Georgia)	Primary
207V00000X	Obstetrics & Gynecology	46727 (Minnesota)	Secondary
207V00000X	Obstetrics & Gynecology	2006-00745 (North Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Au Medical Associates Inc	9931013513	585

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 Larisa P Gavrilova-jordan allows following entities to bill medicare on her behalf.

Entity Name	Au Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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 Larisa P Gavrilova-jordan 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 Larisa P Gavrilova-jordan, MD 1499 Walton Way, Suite 1400, Augusta, GA 30901-2603 Ph: (706) 724-6100	Dr Larisa P Gavrilova-jordan, MD 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 724-6100

Reviews and Comments

Obstetrics & Gynecology Doctors in Augusta, GA

Dr. John Henry Oliver, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2300 Wrightsboro Rd, Augusta, GA 30904 Phone: 706-737-3948 Fax: 706-737-4035
Dr. C Katherine Chance, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1348 Walton Way, Ste 4100, Augusta, GA 30901 Phone: 706-722-1381 Fax: 706-823-6871
Mr. Ravinder Jerath, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2100 Central Ave, Suite 7, Augusta, GA 30904 Phone: 706-736-5378 Fax: 706-738-9922
Dr. Evan C Bahr, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 2300 Wrightsboro Rd, Augusta, GA 30904 Phone: 706-737-3948 Fax: 706-737-4035
Dr. Christopher Homeyer, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 205 Simmons Pl, Augusta, GA 30907 Phone: 706-787-7228 Fax: 706-787-0385
Benjamin Muller, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3624 J Dewey Gray Cir Ste 301, Augusta, GA 30909 Phone: 843-209-2779

Dr Larisa P Gavrilova-jordan, MD - Medicare Obstetrics/gynecology in Augusta, GA