Pavel Kasianov, NP-C is a medicare enrolled "Hospitalist" in Jacksonville, Florida. He graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Vip Specialties Of Florida and his current practice location is
13715 Richmond Park Dr N Unit 401, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 593-8514.
Pavel Kasianov is licensed to practice in Florida (license number APRN9344609) 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 1861943680.
Provider's Profile
| Full Name | Pavel Kasianov |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 13715 Richmond Park Dr N Unit 401, Jacksonville, Florida |
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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. |
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Medical Education and Training:
- Pavel Kasianov graduated from nursing school in 2016
NPI Data:
- NPI Number: 1861943680
- Provider Enumeration Date: 10/17/2016
- Last Update Date: 04/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 8022398932
- Enrollment ID: I20161212001936
Medical Identifiers
Medical identifiers for Pavel Kasianov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861943680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 9344609 (Florida) | Secondary |
| 208M00000X | Hospitalist | APRN9344609 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Vip Specialties Of Florida | 7810355708 | 25 |
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 Kasianov allows following entities to bill medicare on his behalf.
| Entity Name | Pain Consultants Of West Florida P A |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013074897
PECOS PAC ID: 3274522206
Enrollment ID: O20040506000982 |
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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 Kasianov 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 |
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Pavel Kasianov, NP-C
13715 Richmond Park Dr N Unit 401,
Jacksonville, FL 32224-5277
Ph: (904) 593-8514 | Pavel Kasianov, NP-C
13715 Richmond Park Dr N Unit 401,
Jacksonville, FL 32224-5277
Ph: (904) 593-8514 |
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