| Dr Lucas John Pavlovich, MD | |
|
801 Gorman Ave, Elkins, WV 26241-3147 | |
| (304) 636-3300 | |
| Not Available |
| Full Name | Dr Lucas John Pavlovich |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 36 Years |
| Location | 801 Gorman Ave, Elkins, West Virginia |
| 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 |
|---|---|---|---|
| 1679553044 | NPI | - | NPPES |
| 1659391472 | Other | TYPE II NPI | |
| 0098428000 | Medicaid | WV | |
| 001722346 | Other | WV | BC/BS NUMBER |
| 5110270001 | Other | WV | MEDICARE DME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 19751 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Homeplus | Elkins, WV | Home health agency |
| Davis Medical Center | Elkins, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Davis Memorial Hospital | 3072418540 | 69 |
| Entity Name | Davis Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619964806 PECOS PAC ID: 3072418540 Enrollment ID: O20040107000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lucas John Pavlovich, MD 812 Gorman Ave, Elkins, WV 26241-3181 Ph: (304) 636-3300 | Dr Lucas John Pavlovich, MD 801 Gorman Ave, Elkins, WV 26241-3147 Ph: (304) 636-3300 |
Dr. Kenneth Edward Damato, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Seneca Road, Elkins, WV 26241 Phone: 304-636-8080 Fax: 304-636-8849 | |
Walter C. Boardwine, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Gorman Ave, Elkins, WV 26241 Phone: 304-636-3300 | |
Dr. Richard Edmond Topping, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Gorman Ave, Elkins, WV 26241 Phone: 304-636-3300 |