| Dr Peter M Pavlina, MD | |
|
3533 Southern Blvd, Ste 5650, Kettering, OH 45429-1264 | |
| (937) 294-3611 | |
| (937) 294-9010 |
| Full Name | Dr Peter M Pavlina |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 43 Years |
| Location | 3533 Southern Blvd, Kettering, Ohio |
| 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 |
|---|---|---|---|
| 1881692341 | NPI | - | NPPES |
| 0743039 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 35058244 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kettering Medical Center | Kettering, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 602 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter M Pavlina, MD 3533 Southern Blvd, Ste 5650, Dayton, OH 45429-1264 Ph: (937) 294-3611 | Dr Peter M Pavlina, MD 3533 Southern Blvd, Ste 5650, Kettering, OH 45429-1264 Ph: (937) 294-3611 |
Dr. Bruce Henry Rank, D.O. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd, Suite 5650, Kettering, OH 45429 Phone: 937-294-3611 Fax: 937-294-9010 | |
Dr. Thomas J Merle, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd, Ste 5650, Kettering, OH 45429 Phone: 937-294-3611 Fax: 937-294-9010 | |
Dr. Jeffrey Keith Hoffman, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 580 Lincoln Park Blvd, Suite 322, Kettering, OH 45429 Phone: 937-297-6800 Fax: 937-297-6810 | |
Rachel Herman, MPAS, PA-C Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd Ste 5650, Kettering, OH 45429 Phone: 937-294-3611 |