Dr Ethan Pavlovsky, DO - Medicare General Practice in Plano, TX

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Dr Ethan Pavlovsky, DO is a medicare enrolled "General Practice" physician in Plano, Texas. He graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as General Practice. His current practice location is 3901 W 15th St, Plano, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 396-4075.

Dr Ethan Pavlovsky is licensed to practice in Texas (license number W4177) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1407505233.

Contact Information

Dr Ethan Pavlovsky, DO
3901 W 15th St,
Plano, TX 75075-7738
(972) 396-4075
Not Available

Map and Direction




Physician's Profile

Full NameDr Ethan Pavlovsky
GenderMale
SpecialityGeneral Practice
Experience2 Years
Location3901 W 15th St, Plano, Texas
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ethan Pavlovsky graduated from medical school in 2024
  NPI Data:
  • NPI Number: 1407505233
  • Provider Enumeration Date: 03/20/2022
  • Last Update Date: 03/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1557803814
  • Enrollment ID: I20260611004444

Medical Identifiers

Medical identifiers for Dr Ethan Pavlovsky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407505233NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice W4177 (Texas)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. Dr Ethan Pavlovsky allows following entities to bill medicare on his behalf.
Entity NameCsh Corp.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386518355
PECOS PAC ID: 5395234199
Enrollment ID: O20251031000295

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. Dr Ethan Pavlovsky 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 AddressPractice Location Address
Dr Ethan Pavlovsky, DO
3901 W 15th St,
Plano, TX 75075-7738

Ph: (972) 396-4075		Dr Ethan Pavlovsky, DO
3901 W 15th St,
Plano, TX 75075-7738

Ph: (972) 396-4075

Reviews and Comments


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Dr. Andrew S Rosemore, DO
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Dr. Raymund Camilo King, MD, JD
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Sidney Howard Bernstein, D.O.
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Practice Location: 6020 W Parker Rd, Plano, TX 75093
Phone: 972-608-5000    Fax: 972-608-5020

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.