Shalva V Kakabadze, MD | |
5 N 3rd St, Reynoldsville, PA 15851-0907 | |
(814) 653-8222 | |
(814) 653-9305 |
Full Name | Shalva V Kakabadze |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 5 N 3rd St, Reynoldsville, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962465427 | NPI | - | NPPES |
2257776 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35079515 (Ohio) | Secondary |
207Q00000X | Family Medicine | MD442814 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Penn Highlands Community Nurses | St marys, PA | Home health agency |
Community Nurses Home Health And Hospice Inc | St marys, PA | Hospice |
Penn Highland Dubois | Dubois, PA | Hospital |
Penn Highlands Brookville | Brookville, PA | Hospital |
Punxsutawney Area Hospital | Punxsutawney, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dubois Regional Medical Center | 5890689715 | 346 |
Entity Name | Dubois Regional Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285728915 PECOS PAC ID: 8022917269 Enrollment ID: O20040119000522 |
Entity Name | Dubois Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245410554 PECOS PAC ID: 5890689715 Enrollment ID: O20040426000432 |
Entity Name | Dubois Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407951213 PECOS PAC ID: 5890689715 Enrollment ID: O20050329000392 |
Entity Name | Dubois Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487937199 PECOS PAC ID: 5890689715 Enrollment ID: O20111107000034 |
Mailing Address | Practice Location Address |
---|---|
Shalva V Kakabadze, MD Po Box 447, Du Bois, PA 15801-0447 Ph: (814) 653-8222 | Shalva V Kakabadze, MD 5 N 3rd St, Reynoldsville, PA 15851-0907 Ph: (814) 653-8222 |
Jennifer Wineberg Zeitler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 522 E Main St, Reynoldsville, PA 15851 Phone: 814-653-8000 Fax: 814-653-9632 |