Andrew Stube, DPT, OCS is a medicare enrolled "Physical Therapist" provider in Moseley, Virginia. His current practice location is
4812 Kyloe Ln, Moseley, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 248-1617.
Andrew Stube is licensed to practice in Virginia (license number 2305208165) 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 1053743864.
Healthcare Provider's Profile
| Full Name | Andrew Stube |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 4812 Kyloe Ln, Moseley, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053743864
- Provider Enumeration Date: 08/02/2013
- Last Update Date: 01/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486888781
- Enrollment ID: I20140507000206
Medical Identifiers
Medical identifiers for Andrew Stube such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053743864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 2305208165 (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. Andrew Stube allows following entities to bill medicare on his behalf.
| Provider Name | Virginia Luna Care Physical Therapy Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1235720848
PECOS PAC ID: 0941615405
Enrollment ID: O20210319000961 |
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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. Andrew Stube 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 |
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Andrew Stube, DPT, OCS
Po Box 1769,
Middleburg, VA 20118-1769
Ph: (540) 687-8181 | Andrew Stube, DPT, OCS
4812 Kyloe Ln,
Moseley, VA 23120-1242
Ph: (804) 248-1617 |
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