Shalva V Kakabadze, MD is a medicare enrolled "Family Medicine" physician in Reynoldsville, Pennsylvania. His current practice location is
5 N 3rd St, Reynoldsville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 653-8222.
Shalva V Kakabadze is licensed to practice in Pennsylvania (license number MD442814) 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 1962465427.
Physician's Profile
| Full Name | Shalva V Kakabadze |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 5 N 3rd St, Reynoldsville, Pennsylvania |
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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:
- Shalva V Kakabadze attended and graduated from in
NPI Data:
- NPI Number: 1962465427
- Provider Enumeration Date: 04/07/2006
- Last Update Date: 06/10/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Shalva V Kakabadze such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962465427 | NPI | - | NPPES |
| 2257776 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 35079515 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | MD442814 (Pennsylvania) | 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. Shalva V Kakabadze 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 |
|---|
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 |
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