Mr Brian T Pavlue, PAC is a medicare enrolled "Physician Assistant" physician in Gilbert, Arizona. His current practice location is
1225 E Mineral Rd, Gilbert, Arizona. You can reach out to his office (for appointments etc.) via phone at
(917) 301-4953.
Mr Brian T Pavlue is licensed to practice in Arizona (license number 4384) 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 1730371998.
Physician's Profile
Full Name | Mr Brian T Pavlue |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1225 E Mineral Rd, Gilbert, Arizona |
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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: 1730371998
- Provider Enumeration Date: 08/13/2007
- Last Update Date: 08/27/2014
Medicare PECOS Information:
- PECOS PAC ID: 8325136849
- Enrollment ID: I20090825000723
Medical Identifiers
Medical identifiers for Mr Brian T Pavlue such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730371998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 1972023 (Wisconsin) | Secondary |
363A00000X | Physician Assistant | 4384 (Arizona) | 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. Mr Brian T Pavlue 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 |
Mr Brian T Pavlue, PAC 1225 E Mineral Rd, Gilbert, AZ 85234-4461 Ph: (917) 301-4953 | Mr Brian T Pavlue, PAC 1225 E Mineral Rd, Gilbert, AZ 85234-4461 Ph: (917) 301-4953 |
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