Pavel Shevtsov, MD is a medicare enrolled "Internal Medicine - Rheumatology" in Lexington, Kentucky. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Rheumatology. He is a member of the group practice Kentucky Medical Services Foundation, Inc and his current practice location is
740 S Limestone Ste D200, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 323-6700.
Pavel Shevtsov is licensed to practice in Kentucky (license number 57921) 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 1174981450.
Provider's Profile
| Full Name | Pavel Shevtsov |
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| Gender | Male |
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| Speciality | Rheumatology |
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| Experience | 3 Years |
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| Location | 740 S Limestone Ste D200, Lexington, Kentucky |
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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 Shevtsov graduated from nursing school in 2023
NPI Data:
- NPI Number: 1174981450
- Provider Enumeration Date: 02/02/2016
- Last Update Date: 06/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 6103115159
- Enrollment ID: I20250702003789
Medical Identifiers
Medical identifiers for Pavel Shevtsov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174981450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | NUR-APRN-LIC-102167 (Montana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| 207R00000X | Internal Medicine | 88124 (Montana) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | 57921 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kentucky Medical Services Foundation, Inc | 5698689909 | 949 |
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 Shevtsov allows following entities to bill medicare on his behalf.
| Entity Name | University of Kentucky |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770771974
PECOS PAC ID: 3072425289
Enrollment ID: O20031105000072 |
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| Entity Name | Kentucky Medical Services Foundation, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326091448
PECOS PAC ID: 5698689909
Enrollment ID: O20031119000300 |
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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 Shevtsov 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 Shevtsov, MD
1101 26th St S,
Great Falls, MT 59405-5161
Ph: Not Available | Pavel Shevtsov, MD
740 S Limestone Ste D200,
Lexington, KY 40536-0905
Ph: (859) 323-6700 |
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