Leonid Soubbotin, DPT in Rockville, MD - Medicare Physical Therapist Provider

Leonid Soubbotin, DPT is a medicare enrolled "Physical Therapist" provider in Rockville, Maryland. His current practice location is 9701 Medical Center Dr, Rockville, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 315-1900.

Leonid Soubbotin is licensed to practice in Maryland (license number 24336) 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 1164869764.

Contact Information

	Leonid Soubbotin, DPT
	9701 Medical Center Dr, Rockville, MD 20850-3326
	(301) 315-1900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Leonid Soubbotin
Gender	Male
Speciality	Physical Therapist
Location	9701 Medical Center Dr, Rockville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164869764
Provider Enumeration Date: 05/23/2013
Last Update Date: 05/23/2013

Medicare PECOS Information:

PECOS PAC ID: 1254605306
Enrollment ID: I20170928000326

Medical Identifiers

Medical identifiers for Leonid Soubbotin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164869764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	24336 (Maryland)	Primary
225100000X	Physical Therapist	2305207721 (Virginia)	Secondary

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. Leonid Soubbotin allows following entities to bill medicare on his behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1588013155 PECOS PAC ID: 6507832573 Enrollment ID: O20160809003104

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. Leonid Soubbotin 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
Leonid Soubbotin, DPT 9701 Medical Center Dr, Rockville, MD 20850-3326 Ph: (301) 315-1900	Leonid Soubbotin, DPT 9701 Medical Center Dr, Rockville, MD 20850-3326 Ph: (301) 315-1900

Reviews and Comments

Physical Therapist in Rockville, MD

Kelly Marie Hanns, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6208 Montrose Road, Rockville, MD 20852 Phone: 301-468-9343
Samuel Noah Herbst, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1071 Seven Locks Rd, Rockville, MD 20854 Phone: 301-515-0900 Fax: 240-912-2381
Katherine Ortlieb Tiffey, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 818 Carter Rd, Rockville, MD 20852 Phone: 202-257-4192
Anjana Viswanathan, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 192 Halpine Rd Ste D, Rockville, MD 20852 Phone: 240-514-2400 Fax: 301-816-6968
Alexis Ayomi Afamefune, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 W Gude Dr, Rockville, MD 20850 Phone: 240-614-2800
Mrs. Elham Tehranchi, MPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 9909 Medical Center Drive, Rockville, MD 20850 Phone: 240-864-6000 Fax: 240-864-6049
Mr. Pavlos Gkikas, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4960 Boiling Brook Pkwy, Rockville, MD 20852 Phone: 410-989-3833

Leonid Soubbotin, DPT - Medicare Physical Therapist in Rockville, MD