Mr Kevin Shailesh Avichal, PA-C is a medicare enrolled "Orthopaedic Surgery" in Bayonne, New Jersey. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Jeffrey F Augustin Md Pa, North Shore Lij Urgent Care Pc and his current practice location is
526 Broadway, Bayonne, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 437-9700.
Mr Kevin Shailesh Avichal is licensed to practice in New Jersey (license number 25MP00445700) 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 1174040539.
Provider's Profile
| Full Name | Mr Kevin Shailesh Avichal |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 7 Years |
|---|
| Location | 526 Broadway, Bayonne, New Jersey |
|---|
| 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:
- Mr Kevin Shailesh Avichal graduated from nursing school in 2017
NPI Data:
- NPI Number: 1174040539
- Provider Enumeration Date: 08/26/2017
- Last Update Date: 03/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 5092143305
- Enrollment ID: I20200320000935
Medical Identifiers
Medical identifiers for Mr Kevin Shailesh Avichal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174040539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 021217 (New York) | Secondary |
| 363A00000X | Physician Assistant | 25MP00445700 (New Jersey) | Secondary |
| 207X00000X | Orthopaedic Surgery | 25MP00445700 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jeffrey F Augustin Md Pa | 2567463763 | 2 |
| North Shore Lij Urgent Care Pc | 6002131778 | 302 |
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. Mr Kevin Shailesh Avichal 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 |
|---|
Mr Kevin Shailesh Avichal, PA-C
1244 Plane St,
Union, NJ 07083-3820
Ph: (908) 265-7873 | Mr Kevin Shailesh Avichal, PA-C
526 Broadway,
Bayonne, NJ 07002-3734
Ph: (201) 437-9700 |
Reviews and Comments