Pravin N Avula, MD | |
121 College St, Smiths Grove, KY 42171 | |
(270) 563-3000 | |
(270) 783-3753 |
Full Name | Pravin N Avula |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 35 Years |
Location | 121 College St, Smiths Grove, Kentucky |
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 |
---|---|---|---|
1245271436 | NPI | - | NPPES |
64311731 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 31173 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lifeline Health Care Of Warren | Bowling green, KY | Home health agency |
The Medical Center Home Care Program | Bowling green, KY | Home health agency |
Amedisys Home Health | Columbia, KY | Home health agency |
The Medical Center (bowling Green) | Bowling green, KY | Hospital |
Greenview Regional Hospital | Bowling green, KY | Hospital |
Edmonson Center | Brownsville, KY | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gilbert Barbee Moore And Mcilvoy Psc | 4082511167 | 228 |
Entity Name | Gilbert Barbee Moore & Mcilvoy Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114948288 PECOS PAC ID: 4082511167 Enrollment ID: O20031217000136 |
Entity Name | Dixie Infusion Pharmacy 2, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962985143 PECOS PAC ID: 2961735147 Enrollment ID: O20190603000628 |
Mailing Address | Practice Location Address |
---|---|
Pravin N Avula, MD 201 Park St, Bowling Green, KY 42101-1759 Ph: (270) 563-3000 | Pravin N Avula, MD 121 College St, Smiths Grove, KY 42171 Ph: (270) 563-3000 |