Ketevan Gvalia, M D - Medicare Internal Medicine in Scranton, PA

Ketevan Gvalia, M D is a medicare enrolled "Internal Medicine" physician in Scranton, Pennsylvania. She graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Arnett Clinic Llc and her current practice location is 1800 Mulberry St, Scranton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 703-7351.

Ketevan Gvalia is licensed to practice in Indiana (license number 01079486A) 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 1255774527.

Contact Information

Ketevan Gvalia, M D
1800 Mulberry St,
Scranton, PA 18510-2369
(570) 703-7351
(570) 703-7801

Map and Direction




Physician's Profile

Full NameKetevan Gvalia
GenderFemale
SpecialityInternal Medicine
Experience38 Years
Location1800 Mulberry St, Scranton, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ketevan Gvalia graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1255774527
  • Provider Enumeration Date: 04/16/2013
  • Last Update Date: 10/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6103129598
  • Enrollment ID: I20171127003338

Medical Identifiers

Medical identifiers for Ketevan Gvalia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255774527NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist TMD005308 (Pennsylvania)Secondary
208M00000XHospitalist 01079486A (Indiana)Secondary
207R00000XInternal Medicine 01079486A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University Health Arnett HospitalLafayette, INHospital
Indiana University HealthIndianapolis, INHospital
Indiana University Health White Memorial HospitalMonticello, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arnett Clinic Llc0749184380382

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. Ketevan Gvalia allows following entities to bill medicare on her behalf.
Entity NameArnett Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164490843
PECOS PAC ID: 0749184380
Enrollment ID: O20031125000119
Entity NameBaptist Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508269200
PECOS PAC ID: 5597867184
Enrollment ID: O20090527000129
Entity NameNorthwest Hospitalist Physicians, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023448321
PECOS PAC ID: 0244397693
Enrollment ID: O20140205000078

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. Ketevan Gvalia 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
Ketevan Gvalia, M D
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -
Ketevan Gvalia, M D
1800 Mulberry St,
Scranton, PA 18510-2369

Ph: (570) 703-7351

Reviews and Comments


Internal Medicine Doctors in Scranton, PA

Dr. Ivan Cvorovic, M.D.
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Phone: 570-342-1776    Fax: 570-963-0663

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.