Mr Vadim Petrov-kondratov, MD in Hinesville, GA - Medicare Interventional Pain Management

Mr Vadim Petrov-kondratov, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Hinesville, Georgia. He went to University Of Vermont College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Pain Treatment Centers Of Georgia Llc and his current practice location is 604 W Oglethorpe Hwy, Hinesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 910-3777.

Mr Vadim Petrov-kondratov is licensed to practice in Georgia (license number 88065) 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 1891061040.

Contact Information

	Mr Vadim Petrov-kondratov, MD
	604 W Oglethorpe Hwy, Hinesville, GA 31313-4415
	(912) 910-3777
	(912) 292-0005

Map and Direction

Physician's Profile

Full Name	Mr Vadim Petrov-kondratov
Gender	Male
Speciality	Interventional Pain Management
Experience	12 Years
Location	604 W Oglethorpe Hwy, Hinesville, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Vadim Petrov-kondratov attended and graduated from University Of Vermont College Of Medicine in 2012

NPI Data:

NPI Number: 1891061040
Provider Enumeration Date: 03/31/2012
Last Update Date: 10/11/2023

Medicare PECOS Information:

PECOS PAC ID: 6709155831
Enrollment ID: I20220322002479

Medical Identifiers

Medical identifiers for Mr Vadim Petrov-kondratov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891061040	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208VP0014X	Pain Medicine - Interventional Pain Medicine	E10674 (Arkansas)	Secondary
208VP0014X	Pain Medicine - Interventional Pain Medicine	88065 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wayne Memorial Hospital	Jesup, GA	Hospital
Meadows Regional Medical Center	Vidalia, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pain Treatment Centers Of Georgia Llc	7012302425	3

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. Mr Vadim Petrov-kondratov allows following entities to bill medicare on his behalf.

Entity Name	Pain Treatment Centers Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548931249 PECOS PAC ID: 7012302425 Enrollment ID: O20220322002325

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 Vadim Petrov-kondratov 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 Vadim Petrov-kondratov, MD 604 W Oglethorpe Hwy, Hinesville, GA 31313-4415 Ph: (912) 910-3777	Mr Vadim Petrov-kondratov, MD 604 W Oglethorpe Hwy, Hinesville, GA 31313-4415 Ph: (912) 910-3777

Mr Vadim Petrov-kondratov, MD - Medicare Interventional Pain Management in Hinesville, GA