| Pravin K Jain, MD | |
|
380 Hospital Drive, Suite 410, Macon, GA 31217 | |
| (478) 746-5644 | |
| (478) 745-4849 |
| Full Name | Pravin K Jain |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 49 Years |
| Location | 380 Hospital Drive, Macon, Georgia |
| 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 |
|---|---|---|---|
| 1194733907 | NPI | - | NPPES |
| 000412222M | Medicaid | GA | |
| 326171 | Other | GA | WELLCARE |
| 000412222S | Medicaid | GA | |
| 000412222Q | Medicaid | GA | |
| 000412222R | Medicaid | GA | |
| 200133190A | Medicaid | OK | |
| P00057932 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 030794 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Coliseum Medical Centers, Llc, Dba | Macon, GA | Hospital |
| Coliseum Northside Hospital | Macon, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Anesthesia Llc | 2163837972 | 365 |
| Charleston Area Medical Center Inc | 3375441637 | 859 |
| Entity Name | Anesthesia Associates Of Macon Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083720478 PECOS PAC ID: 5799698601 Enrollment ID: O20031107000003 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Redmond Anesthesia And Pain Treatment, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821350984 PECOS PAC ID: 4880841741 Enrollment ID: O20120828000499 |
| Entity Name | Sentry Anesthesia Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
| Entity Name | Piedmont Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
| Entity Name | Se Georgia Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518542919 PECOS PAC ID: 8426466137 Enrollment ID: O20210419001856 |
| Mailing Address | Practice Location Address |
|---|---|
| Pravin K Jain, MD Po Box 2564, Macon, GA 31203 Ph: (478) 746-5644 | Pravin K Jain, MD 380 Hospital Drive, Suite 410, Macon, GA 31217 Ph: (478) 746-5644 |
Dr. Mauro Faibicher, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Keith N Phillippi, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Dr. David M Kalish Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Dorene Jeanine Hinton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Dr, Macon, GA 31217 Phone: 478-750-8606 | |
Hubert R Buxton Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Manojna P Sanjeev, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Boris Pechenik, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-1000 |