Mr Brian T Pavlue, PAC is a medicare enrolled "Physician Assistant" physician in Gilbert, Arizona. His current practice location is
1225 E Mineral Rd, Gilbert, Arizona. You can reach out to his office (for appointments etc.) via phone at
(917) 301-4953.
Mr Brian T Pavlue is licensed to practice in Arizona (license number 4384) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730371998.
Physician's Profile
| Full Name | Mr Brian T Pavlue |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 1225 E Mineral Rd, Gilbert, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730371998
- Provider Enumeration Date: 08/13/2007
- Last Update Date: 08/27/2014
Medicare PECOS Information:
- PECOS PAC ID: 8325136849
- Enrollment ID: I20090825000723
Medical Identifiers
Medical identifiers for Mr Brian T Pavlue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730371998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 1972023 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 4384 (Arizona) | 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. Mr Brian T Pavlue allows following entities to bill medicare on his behalf.
| Entity Name | Nextcare Arizona LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043371826 PECOS PAC ID: 9537161260 Enrollment ID: O20070209000357 |
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| Entity Name | Emergency Physicians Southwest PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912053752 PECOS PAC ID: 2264538529 Enrollment ID: O20070502000382 |
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| Entity Name | Tec Emergency Physicians of Arizona, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245772870 PECOS PAC ID: 6204256084 Enrollment ID: O20201016000157 |
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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. Mr Brian T Pavlue 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 |
Mr Brian T Pavlue, PAC 1225 E Mineral Rd, Gilbert, AZ 85234-4461 Ph: (917) 301-4953 | Mr Brian T Pavlue, PAC 1225 E Mineral Rd, Gilbert, AZ 85234-4461 Ph: (917) 301-4953 |
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