Dr Laurel Diane Kortum, MD in Fairfax, VA

Dr Laurel Diane Kortum, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Fairfax, Virginia. She went to University Of Nebraska College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Inova Cares - Community, Inova Cares - Community and her current practice location is 3620 Joseph Siewick Dr, Ste 202, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 922-9501.

Dr Laurel Diane Kortum is licensed to practice in Virginia (license number 0101240278) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295773729.

Contact Information

	Dr Laurel Diane Kortum, MD
	3620 Joseph Siewick Dr, Ste 202, Fairfax, VA 22033-1756
	(703) 922-9501
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Laurel Diane Kortum
Gender	Female
Speciality	Anesthesiology
Experience	22 Years
Location	3620 Joseph Siewick Dr, Fairfax, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Laurel Diane Kortum attended and graduated from University Of Nebraska College Of Medicine in 2002

NPI Data:

NPI Number: 1295773729
Provider Enumeration Date: 06/04/2006
Last Update Date: 03/05/2015

Medicare PECOS Information:

PECOS PAC ID: 6507866985
Enrollment ID: I20070109000275

Medical Identifiers

Medical identifiers for Dr Laurel Diane Kortum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295773729	NPI	-	NPPES
484645	Other	VA	NCPPO
033579	Other	VA	ANTHEM
1295773729	Medicaid	VA
K142-0001	Other	VA	CARE FIRST 2005
9445356	Other	VA	PHCS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	TEP4621 (Nebraska)	Secondary
207LP2900X	Anesthesiology - Pain Medicine	0101240278 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Inova Fair Oaks Hospital	Fairfax, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Inova Cares - Community	9537526330	201
Inova Cares - Community	9537526330	201

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 Laurel Diane Kortum allows following entities to bill medicare on her behalf.

Entity Name	North American Partners In Anesthesia (virginia), Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922031442 PECOS PAC ID: 9931192739 Enrollment ID: O20041217000009

Entity Name	American Anesthesiology Of Virginia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606

Entity Name	Inova Cares - Community
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861131906 PECOS PAC ID: 9537526330 Enrollment ID: O20230609002576

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 Laurel Diane Kortum 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 Laurel Diane Kortum, MD 3998 Fair Ridge Dr, Ste 300, Fairfax, VA 22033-2921 Ph: (703) 766-9737	Dr Laurel Diane Kortum, MD 3620 Joseph Siewick Dr, Ste 202, Fairfax, VA 22033-1756 Ph: (703) 922-9501

Reviews and Comments

Anesthesiology Doctors in Fairfax, VA

Mrs. Gloria Gilbert Black, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Barry Burureser Mcconville, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10730 Main Street, Fairfax, VA 22030 Phone: 301-317-0020 Fax: 301-317-0028
Hang Jin Yoon, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10734 Main Street, Fairfax, VA 22030 Phone: 301-317-0020 Fax: 301-317-0028
Nancy R Couleman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8501 Arlington Blvd, Suite 550, Fairfax, VA 22031 Phone: 703-573-2363 Fax: 703-573-7609
Sang Joong Jeon, MEDICAL DOCTOR Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10730 Main Street, Fairfax, VA 22030 Phone: 301-317-0020 Fax: 301-317-0028
Dr. Kaadze M Wright, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Dr. Jai K Lee, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3129 Fax: 703-295-9369

Dr Laurel Diane Kortum, MD - Medicare Anesthesiology in Fairfax, VA