Dr Kevin Charles Lutta, MD | |
13350 Franklin Farm Road, Suite 220, Herndon, VA 20171-4095 | |
(703) 810-5204 | |
(703) 810-5411 |
Full Name | Dr Kevin Charles Lutta |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 20 Years |
Location | 13350 Franklin Farm Road, Herndon, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902063092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 01011247618 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inova Fair Oaks Hospital | Fairfax, VA | Hospital |
Virginia Hospital Center | Arlington, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthovirginia Inc | 0547157224 | 491 |
Orthovirginia Inc | 0547157224 | 491 |
Ivyrehab Sept, Llc | 7911990908 | 1173 |
Entity Name | Orthovirginia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588066740 PECOS PAC ID: 0547157224 Enrollment ID: O20150102000273 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Charles Lutta, MD Po Box 75420, Baltimore, MD 21275-5420 Ph: (703) 383-6469 | Dr Kevin Charles Lutta, MD 13350 Franklin Farm Road, Suite 220, Herndon, VA 20171-4095 Ph: (703) 810-5204 |
Dean R Bennett, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 13350 Franklin Farm Road, Suite 220, Herndon, VA 20171 Phone: 703-471-5300 Fax: 703-471-4391 | |
William A Hazel, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 13350 Franklin Farm Road, Suite 220, Herndon, VA 20171 Phone: 703-471-5300 Fax: 701-471-4391 |