Dr Nikos Konstantinos Pavlides, MD - Medicare Orthopedic Surgery in Pottstown, PA

Dr Nikos Konstantinos Pavlides, MD is a medicare enrolled "Orthopaedic Surgery" physician in Pottstown, Pennsylvania. He went to Hahnemann University College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Premier Orthopaedic And Sports Medicine Associates, Ltd, Keystone Rehabilitation Systems Inc and his current practice location is 1561 Medical Dr, Pottstown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 792-9292.

Dr Nikos Konstantinos Pavlides is licensed to practice in Pennsylvania (license number 430394) 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 1891726006.

Contact Information

Dr Nikos Konstantinos Pavlides, MD
1561 Medical Dr,
Pottstown, PA 19464-3218
(610) 792-9292
(610) 792-9292

Map and Direction




Physician's Profile

Full NameDr Nikos Konstantinos Pavlides
GenderMale
SpecialityOrthopedic Surgery
Experience23 Years
Location1561 Medical Dr, Pottstown, Pennsylvania
Accepts Medicare AssignmentsYes. 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 Nikos Konstantinos Pavlides attended and graduated from Hahnemann University College Of Medicine in 2001
  NPI Data:
  • NPI Number: 1891726006
  • Provider Enumeration Date: 07/05/2006
  • Last Update Date: 11/26/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8628072501
  • Enrollment ID: I20070724000315

Medical Identifiers

Medical identifiers for Dr Nikos Konstantinos Pavlides such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891726006NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 430394 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Home HealthSpringfield, PAHome health agency
Tower Health At Home - BerksWyomissing, PAHome health agency
Southeastern Home Health ServicesBristol, PAHome health agency
Tri County Home HealthPottstown, PAHome health agency
Pottstown HospitalPottstown, PAHospital
Phoenixville HospitalPhoenixville, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Orthopaedic And Sports Medicine Associates, Ltd5890681092231
Keystone Rehabilitation Systems Inc7012826753533

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 Nikos Konstantinos Pavlides allows following entities to bill medicare on his behalf.
Entity NamePremier Orthopaedic And Sports Medicine Associates, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215987243
PECOS PAC ID: 5890681092
Enrollment ID: O20040225000221

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 Nikos Konstantinos Pavlides 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 AddressPractice Location Address
Dr Nikos Konstantinos Pavlides, MD
1561 Medical Dr,
Pottstown, PA 19464-3218

Ph: (610) 792-9292
Dr Nikos Konstantinos Pavlides, MD
1561 Medical Dr,
Pottstown, PA 19464-3218

Ph: (610) 792-9292

Reviews and Comments


Orthopaedic Surgery Doctors in Pottstown, PA

John R Donahue, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1569 Medical Dr, Suite 200, Pottstown, PA 19464
Phone: 610-323-8161    
James T Guille, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1561 Medical Dr., Pottstown, PA 19464
Phone: 610-792-9292    Fax: 610-792-9293
Scott Ritterman, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1561 Medical Dr, Pottstown, PA 19464
Phone: 610-792-9292    Fax: 610-792-9293
Dr. Mark A Schwartz, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Medical Dr, Pottstown, PA 19464
Phone: 610-705-3055    Fax: 610-705-5790
Linda Park D'andrea, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1561 Medical Dr., Pottstown, PA 19464
Phone: 610-792-9292    Fax: 610-792-9293
Glenn E Lipton, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1561 Medical Drive, Pottstown, PA 19464
Phone: 610-792-9292    Fax: 610-792-9293

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.