Dr Janelle Marshall Pavlis, MD is a medicare enrolled "Dermatology" physician in Broken Arrow, Oklahoma. She went to University Of California, Irvine, California College Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Oklahoma Cancer Specialists And Research Institute, Llc and her current practice location is
800 W Boise Cir Ste 400, Broken Arrow, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 307-0215.
Dr Janelle Marshall Pavlis is licensed to practice in Oklahoma (license number 33597) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447667613.
Physician's Profile
| Full Name | Dr Janelle Marshall Pavlis |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 11 Years |
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| Location | 800 W Boise Cir Ste 400, Broken Arrow, Oklahoma |
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| Accepts Medicare Assignments | Yes. She 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:
- Dr Janelle Marshall Pavlis attended and graduated from University Of California, Irvine, California College Of Medicine in 2014
NPI Data:
- NPI Number: 1447667613
- Provider Enumeration Date: 07/18/2014
- Last Update Date: 10/11/2018
Medicare PECOS Information:
- PECOS PAC ID: 4880959881
- Enrollment ID: I20180522001692
Medical Identifiers
Medical identifiers for Dr Janelle Marshall Pavlis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447667613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 33597 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Oklahoma Cancer Specialists And Research Institute, Llc | 0042513558 | 41 |
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 Janelle Marshall Pavlis allows following entities to bill medicare on her behalf.
| Entity Name | Oklahoma Cancer Specialists And Research Institute, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104291236
PECOS PAC ID: 0042513558
Enrollment ID: O20160115001766 |
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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 Janelle Marshall Pavlis 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 |
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Dr Janelle Marshall Pavlis, MD
800 W Boise Cir Ste 400,
Broken Arrow, OK 74012-4974
Ph: (918) 307-0215 | Dr Janelle Marshall Pavlis, MD
800 W Boise Cir Ste 400,
Broken Arrow, OK 74012
Ph: (918) 307-0215 |
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