Michael Pavlov, is a
Psychologist based in Vancleave, Mississippi. Michael Pavlov is licensed to practice in * (Not Available) (license number ) and his current practice location is
477 Colonel Vickrey Road, Vancleave, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(228) 826-4009.
NPI number for Michael Pavlov is 1306161559 and his current mailing address is 4700 Colonel Vickrey Road, Vancleave, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306161559.
Healthcare Provider's Profile
| Full Name | Michael Pavlov |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
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| Location | 477 Colonel Vickrey Road, Vancleave, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306161559
- Provider Enumeration Date: 03/31/2010
- Last Update Date: 04/12/2010
Medical Identifiers
Medical identifiers for Michael Pavlov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306161559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | 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. Michael Pavlov is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Pavlov,
4700 Colonel Vickrey Road,
Vancleave, MS 39565
Ph: () - | Michael Pavlov,
477 Colonel Vickrey Road,
Vancleave, MS 39565
Ph: (228) 826-4009 |
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