Dr Leo Kusuda, MD is a medicare enrolled "Urology" physician in Coos Bay, Oregon. He went to Washington University School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Urology. He is a member of the group practice North Bend Medical Center Inc and his current practice location is
1900 Woodland Dr, Coos Bay, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 267-5151.
Dr Leo Kusuda is licensed to practice in Oregon (license number MD27316) 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 1578533303.
Physician's Profile
| Full Name | Dr Leo Kusuda |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 43 Years |
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| Location | 1900 Woodland Dr, Coos Bay, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Leo Kusuda attended and graduated from Washington University School Of Medicine in 1981
NPI Data:
- NPI Number: 1578533303
- Provider Enumeration Date: 01/24/2006
- Last Update Date: 02/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 5597863456
- Enrollment ID: I20070531000354
Medical Identifiers
Medical identifiers for Dr Leo Kusuda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578533303 | NPI | - | NPPES |
| 161133 | Other | OR | NBMC GROUP MEDICAID |
| 1407812365 | Other | OR | MEDICARE GROUP NPI NUMBER |
| CB3544 | Other | OR | RR MEDICARE GROUP NUMBER |
| 0577260001 | Other | OR | DMERC |
| R0000WFBTV | Other | OR | MEDICARE GROUP PIN NUMBER |
| P00406434 | Other | OR | RR PTAN MEDICARE NUMBER |
| 218174 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | MD27316 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Bend Medical Center Inc | 5597677716 | 79 |
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 Leo Kusuda allows following entities to bill medicare on his behalf.
| Entity Name | North Bend Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407812365
PECOS PAC ID: 5597677716
Enrollment ID: O20031105000138 |
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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 Leo Kusuda 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 Leo Kusuda, MD
1900 Woodland Dr,
Coos Bay, OR 97420-0000
Ph: (541) 267-5151 | Dr Leo Kusuda, MD
1900 Woodland Dr,
Coos Bay, OR 97420-0000
Ph: (541) 267-5151 |
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