Jack Anavian, MD - Medicare Orthopedic Surgery in Providence, RI

Jack Anavian, MD is a medicare enrolled "Orthopaedic Surgery" physician in Providence, Rhode Island. He went to New York University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 2 Dudley St, Suite 200, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-3581.

Jack Anavian is licensed to practice in Rhode Island (license number 14549) 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 1427286608.

Contact Information

Jack Anavian, MD
2 Dudley St, Suite 200,
Providence, RI 02905-3236
(401) 444-3581
(401) 444-3609



Physician's Profile

Full NameJack Anavian
GenderMale
SpecialityOrthopedic Surgery
Experience17 Years
Location2 Dudley St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jack Anavian attended and graduated from New York University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1427286608
  • Provider Enumeration Date: 06/26/2009
  • Last Update Date: 10/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092930768
  • Enrollment ID: I20161122001029

Medical Identifiers

Medical identifiers for Jack Anavian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427286608NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 14549 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaiser Foundation Hospital Fontana/ontarioFontana, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291757951

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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. Jack Anavian allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

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Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823

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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. Jack Anavian 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 AddressPractice Location Address
Jack Anavian, MD
2943 Highway 77,
Panama City, FL 32405-4411

Ph: (850) 914-7060
Jack Anavian, MD
2 Dudley St, Suite 200,
Providence, RI 02905-3236

Ph: (401) 444-3581

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Orthopaedic Surgery Doctors in Providence, RI

Jeffrey Okewunmi, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4030    
Lauren Elizabeth Piana, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4030    Fax: 401-444-6182
Dr. Stanley John Stutz Jr.,
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 21 Peace St, Corporate Care, Providence, RI 02907
Phone: 401-456-4020    Fax: 401-456-4203
Dr. Phillip R Lucas, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2 Dudley St, Providence, RI 02905
Phone: 401-457-2102    
Dr. Devan Patel, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2 Dudley St Ste 200, Providence, RI 02905
Phone: 401-443-4205    
Dr. Alexander Orfanos, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 2 Dudley St Ste 200, Providence, RI 02905
Phone: 401-457-1500    
Dr. Erik Fritz, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 2 Dudley St Ste 200, Providence, RI 02905
Phone: 401-457-1500    

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