Dr Andrew Leonard Kochuba, MD is a medicare enrolled "Plastic Surgery" physician in Reston, Virginia. His current practice location is
1825 Samuel Morse Dr, Reston, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 893-6168.
Dr Andrew Leonard Kochuba is licensed to practice in Virginia (license number 0101274320) 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 1083994271.
Physician's Profile
Full Name | Dr Andrew Leonard Kochuba |
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Gender | Male |
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Speciality | Plastic Surgery |
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Location | 1825 Samuel Morse Dr, Reston, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083994271
- Provider Enumeration Date: 08/19/2011
- Last Update Date: 04/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820331572
- Enrollment ID: I20190815002924
Medical Identifiers
Medical identifiers for Dr Andrew Leonard Kochuba such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083994271 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | MD210002211 (District Of Columbia) | Secondary |
208200000X | Plastic Surgery | D0093948 (Maryland) | Secondary |
208200000X | Plastic Surgery | 2018-02093 (North Carolina) | Secondary |
208200000X | Plastic Surgery | 0101274320 (Virginia) | Primary |
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. Dr Andrew Leonard Kochuba allows following entities to bill medicare on his behalf.
Entity Name | The Cleveland Clinic Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
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Entity Name | North East Ohio Group Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063575462 PECOS PAC ID: 8426960618 Enrollment ID: O20031105000352 |
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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. Dr Andrew Leonard Kochuba 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 |
Dr Andrew Leonard Kochuba, MD 1825 Samuel Morse Dr, Reston, VA 20190-5317 Ph: (703) 893-6168 | Dr Andrew Leonard Kochuba, MD 1825 Samuel Morse Dr, Reston, VA 20190-5317 Ph: (703) 893-6168 |
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