Dr Pavel Shevtsov, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Lexington, Kentucky. His current practice location is
800 Rose St, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(414) 755-9065.
Dr Pavel Shevtsov 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 1174981450.
Physician's Profile
| Full Name | Dr Pavel Shevtsov |
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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 | 800 Rose St, Lexington, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174981450
- Provider Enumeration Date: 02/02/2016
- Last Update Date: 08/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 6103115159
- Enrollment ID: I20160516001194
Medical Identifiers
Medical identifiers for Dr Pavel Shevtsov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174981450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 88124 (Montana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NUR-APRN-LIC-102167 (Montana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Pavel Shevtsov allows following entities to bill medicare on his behalf.
| Entity Name | Benefis Hospitals Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780968974
PECOS PAC ID: 1153235296
Enrollment ID: O20100629000044 |
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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 Pavel Shevtsov 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 Pavel Shevtsov, MD
1101 26th St S,
Great Falls, MT 59405-5161
Ph: () - | Dr Pavel Shevtsov, MD
800 Rose St,
Lexington, KY 40536-0905
Ph: (414) 755-9065 |
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