Pavel Vladimirovich Lobanov, MD is a medicare enrolled "Anesthesiology" physician in Upper Holland, Pennsylvania. He graduated from medical school in 1998 and has 27 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Miami Anesthesia Services Llc and his current practice location is
12 Newburyport Rd, Upper Holland, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 860-4110.
Pavel Vladimirovich Lobanov is licensed to practice in Pennsylvania (license number MT 183296) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124149547.
Physician's Profile
| Full Name | Pavel Vladimirovich Lobanov |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 27 Years |
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| Location | 12 Newburyport Rd, Upper Holland, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Pavel Vladimirovich Lobanov graduated from medical school in 1998
NPI Data:
- NPI Number: 1124149547
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 10/31/2017
Medicare PECOS Information:
- PECOS PAC ID: 6204995509
- Enrollment ID: I20211209002619
Medical Identifiers
Medical identifiers for Pavel Vladimirovich Lobanov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124149547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | MT 183296 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Miami Anesthesia Services Llc | 1355651837 | 124 |
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. Pavel Vladimirovich Lobanov allows following entities to bill medicare on his behalf.
| Entity Name | Miami Anesthesia Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821475179 PECOS PAC ID: 1355651837 Enrollment ID: O20151112002797 |
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| Entity Name | Anesthesia Dynamics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
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| Entity Name | Sunshine State Anesthesia Partners Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
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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. Pavel Vladimirovich Lobanov 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 |
Pavel Vladimirovich Lobanov, MD 10 Mayo Pl, Dresher, PA 19025-1228 Ph: (267) 237-6220 | Pavel Vladimirovich Lobanov, MD 12 Newburyport Rd, Upper Holland, PA 19053-1556 Ph: (215) 860-4110 |
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