| Shalva V Kakabadze, MD | |
|
5 N 3rd St, Reynoldsville, PA 15851-0907 | |
| (814) 653-8222 | |
| (814) 653-9305 |
| Full Name | Shalva V Kakabadze |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 5 N 3rd St, Reynoldsville, 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 |
|---|---|---|---|
| 1962465427 | NPI | - | NPPES |
| 2257776 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35079515 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | MD442814 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Penn Highlands Community Nurses | St marys, PA | Home health agency |
| Community Nurses Home Health And Hospice Inc | St marys, PA | Hospice |
| Penn Highland Dubois | Dubois, PA | Hospital |
| Penn Highlands Brookville | Brookville, PA | Hospital |
| Punxsutawney Area Hospital | Punxsutawney, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dubois Regional Medical Center | 5890689715 | 361 |
| Keystone Rehabilitation Systems Inc | 7012826753 | 609 |
| Entity Name | Dubois Regional Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285728915 PECOS PAC ID: 8022917269 Enrollment ID: O20040119000522 |
| Entity Name | Dubois Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245410554 PECOS PAC ID: 5890689715 Enrollment ID: O20040426000432 |
| Entity Name | Dubois Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407951213 PECOS PAC ID: 5890689715 Enrollment ID: O20050329000392 |
| Entity Name | Dubois Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487937199 PECOS PAC ID: 5890689715 Enrollment ID: O20111107000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Shalva V Kakabadze, MD Po Box 447, Du Bois, PA 15801-0447 Ph: (814) 653-8222 | Shalva V Kakabadze, MD 5 N 3rd St, Reynoldsville, PA 15851-0907 Ph: (814) 653-8222 |
Jennifer Wineberg Zeitler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 522 E Main St, Reynoldsville, PA 15851 Phone: 814-653-8000 Fax: 814-653-9632 |