Dr Stanley Idiculla, DPM in Herndon, VA - Medicare Preventive Medicine Provider

Dr Stanley Idiculla, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Herndon, Virginia. He went to New York College Of Podiatric Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Preventive Medicine. He is a member of the group practice Nova Foot And Ankle and his current practice location is 112 Elden St, Suite D, Herndon, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 437-5353.

Dr Stanley Idiculla is licensed to practice in Virginia (license number XXXX) 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 1043274368.

Contact Information

	Dr Stanley Idiculla, DPM
	112 Elden St, Suite D, Herndon, VA 20170-4874
	(703) 437-5353
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Stanley Idiculla
Gender	Male
Speciality	Preventive Medicine
Experience	20 Years
Location	112 Elden St, 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.

Medical Education and Training:

Dr Stanley Idiculla attended and graduated from New York College Of Podiatric Medicine in 2004

NPI Data:

NPI Number: 1043274368
Provider Enumeration Date: 04/13/2006
Last Update Date: 12/18/2013

Medicare PECOS Information:

PECOS PAC ID: 0042306391
Enrollment ID: I20090224000705

Medical Identifiers

Medical identifiers for Dr Stanley Idiculla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043274368	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0131X	Podiatrist - Foot Surgery	XXXX (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nova Foot And Ankle	2860630613	3

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 Stanley Idiculla allows following entities to bill medicare on his behalf.

Provider Name	Nova Foot And Ankle
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770828527 PECOS PAC ID: 2860630613 Enrollment ID: O20130606000225

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 Stanley Idiculla 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 Stanley Idiculla, DPM 112 Elden St, Suite D, Herndon, VA 20170-4874 Ph: (703) 437-5353	Dr Stanley Idiculla, DPM 112 Elden St, Suite D, Herndon, VA 20170-4874 Ph: (703) 437-5353

Reviews and Comments

Podiatrist in Herndon, VA

Robert B. Bronfman Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 112 Elden Street, Suite D, Herndon, VA 20170 Phone: 703-437-5353 Fax: 703-437-6941
Dr. Ami Parikh, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 112 Elden St, Suite D, Herndon, VA 20170 Phone: 703-437-5353
Dr. Tiomara Paylor, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 112 Elden St Ste D, Herndon, VA 20170 Phone: 703-437-5353
Kevin Diep, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 112 Elden St Ste D, Herndon, VA 20170 Phone: 703-466-0802 Fax: 703-437-6941
Nova Foot And Ankle Podiatrist Medicare: Medicare Enrolled Practice Location: 112 Elden St, Suite D, Herndon, VA 20170 Phone: 703-437-5353

Dr Stanley Idiculla, DPM - Medicare Podiatrist in Herndon, VA