Pavel Vladimirovich Lobanov, MD is a medicare enrolled "Anesthesiology" physician in Upper Holland, Pennsylvania. His current practice location is
12 Newburyport Rd, Upper Holland, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 860-4110.
Pavel Vladimirovich Lobanov is licensed to practice in Pennsylvania (license number MT 183296) 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 1124149547.
Physician's Profile
Full Name | Pavel Vladimirovich Lobanov |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 12 Newburyport Rd, Upper Holland, Pennsylvania |
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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: 1124149547
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 10/31/2017
Medicare PECOS Information:
- PECOS PAC ID: 6204995509
- Enrollment ID: I20100519000846
Medical Identifiers
Medical identifiers for Pavel Vladimirovich Lobanov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124149547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | MT 183296 (Pennsylvania) | Primary |
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. Pavel Vladimirovich Lobanov allows following entities to bill medicare on his behalf.
Entity Name | Anesthesia Advantage Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649360041 PECOS PAC ID: 9335048693 Enrollment ID: O20040106000204 |
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Entity Name | Anestiplus, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194770487 PECOS PAC ID: 7214975937 Enrollment ID: O20050421001412 |
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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. Pavel Vladimirovich Lobanov 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 |
Pavel Vladimirovich Lobanov, MD 10 Mayo Pl, Dresher, PA 19025-1228 Ph: (267) 237-6220 | Pavel Vladimirovich Lobanov, MD 12 Newburyport Rd, Upper Holland, PA 19053-1556 Ph: (215) 860-4110 |
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