Dr Pavan Kumar Ravipati, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Warren, Michigan. His current practice location is
11800 E 12 Mile Rd, Warren, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 967-7123.
Dr Pavan Kumar Ravipati is licensed to practice in * (Not Available) (license number ) 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 1427686716.
Physician's Profile
Full Name | Dr Pavan Kumar Ravipati |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 11800 E 12 Mile Rd, Warren, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427686716
- Provider Enumeration Date: 03/31/2020
- Last Update Date: 05/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032501366
- Enrollment ID: I20220119001462
Medical Identifiers
Medical identifiers for Dr Pavan Kumar Ravipati such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427686716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | ME168084 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Pavan Kumar Ravipati 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 Pavan Kumar Ravipati, MD 12000 E 12 Mile Rd, Warren, MI 48093-3570 Ph: (248) 967-7123 | Dr Pavan Kumar Ravipati, MD 11800 E 12 Mile Rd, Warren, MI 48093-3472 Ph: (248) 967-7123 |
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