Pavel Vaclav Petrik, MD | |
44725 10th St W Ste 120, Lancaster, CA 93534-3051 | |
(661) 522-3256 | |
(661) 948-2006 |
Full Name | Pavel Vaclav Petrik |
---|---|
Gender | Male |
Speciality | Thoracic Surgery |
Experience | 33 Years |
Location | 44725 10th St W Ste 120, Lancaster, California |
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 |
---|---|---|---|
1417044868 | NPI | - | NPPES |
GR0091800 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | G74861 (California) | Secondary |
2086S0127X | Surgery - Trauma Surgery | G74861 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Antelope Valley Hospital | Lancaster, CA | Hospital |
Entity Name | Pavel V Petrik Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598247991 PECOS PAC ID: 2860733839 Enrollment ID: O20190402000112 |
Mailing Address | Practice Location Address |
---|---|
Pavel Vaclav Petrik, MD Po Box 8700, Lancaster, CA 93539-8700 Ph: (661) 522-3256 | Pavel Vaclav Petrik, MD 44725 10th St W Ste 120, Lancaster, CA 93534-3051 Ph: (661) 522-3256 |
Dr. Edgardo Santos Barcelona, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 43839 15th St W, Lancaster, CA 93534 Phone: 661-945-5984 Fax: 661-945-6524 | |
Dr. Heather Anne Player, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 44151 15th St W Ste 101, Lancaster, CA 93534 Phone: 661-902-5600 | |
Dr. Jose Aurelio Gordo, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1658 West Ave J, Lancaster, CA 93534 Phone: 661-942-6565 Fax: 661-940-1066 | |
Dr. Jawad Bermani, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 44725 10th St W, # 120, Lancaster, CA 93534 Phone: 661-948-4571 | |
Yih-dar Nien, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 44151 15th St W Ste 101, Lancaster, CA 93534 Phone: 661-902-5600 Fax: 661-951-0686 | |
Dr. Sahil Piyush Parikh, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 615 W Avenue L, Lancaster, CA 93534 Phone: 661-729-7100 | |
Dr. Aaron Thomas Scott, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 44151 15th St W Ste 101, Lancaster, CA 93534 Phone: 661-902-5600 Fax: 661-951-0686 |