Ravi Chandra Devabhakthuni, PA-C - Medicare Physician Assistant in Fairmont, WV

Ravi Chandra Devabhakthuni, PA-C is a medicare enrolled "Physician Assistant" in Fairmont, West Virginia. His current practice location is 1322 Locust Ave, Fairmont, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 366-0700.

Ravi Chandra Devabhakthuni is licensed to practice in West Virginia (license number 2784) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821549833.

Contact Information

Ravi Chandra Devabhakthuni, PA-C
1322 Locust Ave,
Fairmont, WV 26554-1436
(304) 366-0700
(307) 367-8766



Provider's Profile

Full NameRavi Chandra Devabhakthuni
GenderMale
SpecialityPhysician Assistant
Location1322 Locust Ave, Fairmont, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821549833
  • Provider Enumeration Date: 10/14/2016
  • Last Update Date: 10/14/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8729184528
  • Enrollment ID: I20200123001173

Medical Identifiers

Medical identifiers for Ravi Chandra Devabhakthuni such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821549833NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2784 (West Virginia)Primary

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. Ravi Chandra Devabhakthuni 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
Ravi Chandra Devabhakthuni, PA-C
1322 Locust Ave,
Fairmont, WV 26554-1436

Ph: (304) 366-0700
Ravi Chandra Devabhakthuni, PA-C
1322 Locust Ave,
Fairmont, WV 26554-1436

Ph: (304) 366-0700

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› Verified 6 days ago


Physician Assistant Nurses in Fairmont, WV

Ms. Rubina K Dasilva, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1322 Locust Ave, Fairmont, WV 26554
Phone: 304-366-0700    Fax: 304-366-9529
Ann Louise Nicely, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 60 Roxbury Rd, Whitehall Medical, Pllc, Fairmont, WV 26554
Phone: 304-363-6600    Fax: 304-363-7700
Christina Michelle Manchin, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 181 Middletown Cir, Fairmont, WV 26554
Phone: 304-367-1970    Fax: 304-367-1980
Mr. Nicholas C Vance, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1325 Locust Ave, Fairmont, WV 26554
Phone: 304-367-7100    
Tayla Jo Anderson,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1325 Locust Ave Ste 4b, Fairmont, WV 26554
Phone: 304-974-3297    Fax: 304-974-3299
Amanda Marie Skrinjorich, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1325 Locust Ave, Fairmont, WV 26554
Phone: 304-367-7100    
Amy Gruber, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1325 Locust Ave, Fairmont, WV 26554
Phone: 304-367-7541    

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