Mr Ryan Daniel Pavelka, PA-C is a medicare enrolled "Physician Assistant" physician in Dallas, Texas. He graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Healthtexas Provider Network and his current practice location is
6301 Gaston Ave Ste 300, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at
(469) 800-7900.
Mr Ryan Daniel Pavelka is licensed to practice in Texas (license number PA15389) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134875578.
Physician's Profile
| Full Name | Mr Ryan Daniel Pavelka |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 6301 Gaston Ave Ste 300, Dallas, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Ryan Daniel Pavelka graduated from medical school in 2021
NPI Data:
- NPI Number: 1134875578
- Provider Enumeration Date: 02/24/2022
- Last Update Date: 05/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 8820484546
- Enrollment ID: I20220406001241
Medical Identifiers
Medical identifiers for Mr Ryan Daniel Pavelka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134875578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | PA15389 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA15389 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Healthtexas Provider Network | 1355254210 | 1844 |
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 Ryan Daniel Pavelka 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 Ryan Daniel Pavelka, PA-C
3015 State St Apt 548,
Dallas, TX 75204-3994
Ph: () - | Mr Ryan Daniel Pavelka, PA-C
6301 Gaston Ave Ste 300,
Dallas, TX 75214-6227
Ph: (469) 800-7900 |
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