Jack Anavian, MD | |
2 Dudley St, Suite 200, Providence, RI 02905-3236 | |
(401) 444-3581 | |
(401) 444-3609 |
Full Name | Jack Anavian |
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Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 17 Years |
Location | 2 Dudley St, Providence, Rhode Island |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427286608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207X00000X | Orthopaedic Surgery | 14549 (Rhode Island) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital Fontana/ontario | Fontana, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Jack Anavian, MD 2943 Highway 77, Panama City, FL 32405-4411 Ph: (850) 914-7060 | Jack Anavian, MD 2 Dudley St, Suite 200, Providence, RI 02905-3236 Ph: (401) 444-3581 |
Jeffrey Okewunmi, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4030 | |
Dr. Daniel Aaron Portney, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2 Dudley St Ste 200, Providence, RI 02905 Phone: 401-457-1500 | |
Lauren Elizabeth Piana, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4030 Fax: 401-444-6182 | |
Dr. Stanley John Stutz Jr., Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 21 Peace St, Corporate Care, Providence, RI 02907 Phone: 401-456-4020 Fax: 401-456-4203 | |
Dr. Phillip R Lucas, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St, Providence, RI 02905 Phone: 401-457-2102 | |
Dr. Devan Patel, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St Ste 200, Providence, RI 02905 Phone: 401-443-4205 | |
Dr. Alexander Orfanos, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2 Dudley St Ste 200, Providence, RI 02905 Phone: 401-457-1500 |