| Pavan Mahendra Ravella, MD | |
|
170 Medical Park Rd Ste 101, Mooresville, NC 28117-8541 | |
| (980) 302-7070 | |
| Not Available |
| Full Name | Pavan Mahendra Ravella |
|---|---|
| Gender | Male |
| Speciality | Hematology |
| Experience | 20 Years |
| Location | 170 Medical Park Rd Ste 101, Mooresville, North Carolina |
| 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 |
|---|---|---|---|
| 1710212147 | NPI | - | NPPES |
| 201320510 | Medicaid | IN | |
| 000000964118 | Other | IN | ANTHEM PROVIDER NUMBER |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
| Indiana University Health White Memorial Hospital | Monticello, IN | Hospital |
| Indiana University Health Frankfort Inc | Frankfort, IN | Hospital |
| Indiana University Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arnett Clinic, Llc | 0749184380 | 412 |
| Entity Name | Arnett Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Mailing Address | Practice Location Address |
|---|---|
| Pavan Mahendra Ravella, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (980) 302-7070 | Pavan Mahendra Ravella, MD 170 Medical Park Rd Ste 101, Mooresville, NC 28117-8541 Ph: (980) 302-7070 |
Aileen Deng, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd Ste 101, Mooresville, NC 28117 Phone: 980-302-7070 Fax: 980-302-7075 | |
Laila Noor Menon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd, Mooresville, NC 28117 Phone: 704-664-9506 | |
Patrick L. Fry, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd, Ste 140a, Mooresville, NC 28117 Phone: 704-663-4443 | |
Dr. Suraj Arora, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 134 Medical Park Rd Ste 200, Mooresville, NC 28117 Phone: 704-384-7972 Fax: 704-384-7973 | |
Richard Krumdieck, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 170 Medical Park Road, Ste 101, Mooresville, NC 28117 Phone: 704-799-3946 Fax: 704-799-3956 | |
Dr. Stephen Peter Stowe, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 603 East Center St, Suite A, Mooresville, NC 28115 Phone: 704-663-5090 Fax: 704-663-5502 | |
Dr. Smitha Reddy Pasula, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 930 W Wilson Ave, Mooresville, NC 28117 Phone: 704-663-7500 |