| Pavan K Irukulla, MD | |
|
1800 Mulberry St, Scranton, PA 18510-2369 | |
| (570) 969-8000 | |
| (570) 969-7421 |
| Full Name | Pavan K Irukulla |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 24 Years |
| Location | 1800 Mulberry St, Scranton, Pennsylvania |
| 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 |
|---|---|---|---|
| 1184860926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD435885 (Pennsylvania) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | R1780 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St Lukes Health Memorial Lufkin | Lufkin, TX | Hospital |
| Genesis Hospital | Zanesville, OH | Hospital |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Medical City Plano | Plano, TX | Hospital |
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Texas Intensivists, Pllc | 5092167528 | 48 |
| Access Telecare Pllc | 7810204831 | 331 |
| Cogent Healthcare Of Texas Pa | 8628076924 | 94 |
| Access Telecare Pllc | 7810204831 | 331 |
| Access Telecare Pllc | 7810204831 | 331 |
| Genesis Medical Group, Llc | 7719040385 | 256 |
| Access Telecare Pllc | 7810204831 | 331 |
| Access Telecare Pllc | 7810204831 | 331 |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Entity Name | Questcare Hospitalists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265441620 PECOS PAC ID: 5799785119 Enrollment ID: O20070109000581 |
| Entity Name | Questcare Intensivists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164758074 PECOS PAC ID: 4688715691 Enrollment ID: O20100112000517 |
| Entity Name | Olusegun Oseni Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487971024 PECOS PAC ID: 7012049406 Enrollment ID: O20100721000108 |
| Entity Name | Access Telecare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013303080 PECOS PAC ID: 7810204831 Enrollment ID: O20150923000991 |
| Entity Name | Questcare Pulmonary In-patient Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629553375 PECOS PAC ID: 0244577385 Enrollment ID: O20190128000476 |
| Entity Name | Northeast Texas Intensivists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497536676 PECOS PAC ID: 5092167528 Enrollment ID: O20240119001805 |
| Mailing Address | Practice Location Address |
|---|---|
| Pavan K Irukulla, MD 404 Terrace Mnr, Scranton, PA 18505-2383 Ph: (570) 687-8786 | Pavan K Irukulla, MD 1800 Mulberry St, Scranton, PA 18510-2369 Ph: (570) 969-8000 |
Dr. Ivan Cvorovic, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Washington Ave Ste 1000, Scranton, PA 18505 Phone: 570-343-2383 | |
Ritu Khurana, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-7351 Fax: 570-703-7801 | |
Dr. Titilayo O Osuntokun, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 959 Wyoming Ave, Scranton, PA 18509 Phone: 570-344-3517 Fax: 570-344-6839 | |
Nalini G Kakimallaiah, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Quincy Ave, Hospitalist Office, Scranton, PA 18510 Phone: 866-519-0457 Fax: 570-770-5263 | |
Dr. Joseph Frank Leo, D.O. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 531 Mt Pleasant Dr, Scranton, PA 18503 Phone: 570-342-8500 Fax: 570-558-2290 | |
Fouzia Oza, M.D. Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 700 Quincy Ave, Scranton, PA 18510 Phone: 570-770-5000 | |
John P Lundin, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 746 Jefferson Ave, Suite 305, Scranton, PA 18510 Phone: 570-342-1776 Fax: 570-963-0663 |