Look up the most recent NPI and PECOS records

Pavel Kasianov

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4624 N Davis Hwy, Pensacola, FL 32503-2337

PECOS Enrollment

Based on the most recent information from CMS, provider Pavel Kasianov is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1861943680
Provider Type
Individual
Full Name
Kasianov, Pavel
Credential
NP-C

Gender
Male
Sole Proprietor
No
Enumeration Date
10/17/2016
Last Updated
8/31/2022

Contact Information

Practice Location

4624 N Davis Hwy, Pensacola, FL 32503-2337

(850) 494-0000

(850) 494-0001

Mailing Location

4624 N Davis Hwy, Pensacola, FL 32503-2337

(850) 494-0000

(850) 494-0001

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 9344609 Florida

Pavel Kasianov

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Gordon, Kaleigh

Chastain, Amy

Avalon Medical Group

Maloy, Velvet C

Adams, Holly Lynn

Rios, Anastasiya Halamuzdava

Helms, Lacee Stallings

Boyett, Allison G

Lemon, Sarah Elizabeth

Duffey-Warner, Tanya