Alexander Maxwell Kandabarow, MD in Woodbridge, VA

Alexander Maxwell Kandabarow, MD is a medicare enrolled "Urology" physician in Woodbridge, Virginia. His current practice location is 2296 Opitz Blvd Ste 350, Woodbridge, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 680-2111.

Alexander Maxwell Kandabarow is licensed to practice in Virginia (license number 0101274595) 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 1649630211.

Contact Information

	Alexander Maxwell Kandabarow, MD
	2296 Opitz Blvd Ste 350, Woodbridge, VA 22191-3346
	(703) 680-2111
	Not Available

Map and Direction

Physician's Profile

Full Name	Alexander Maxwell Kandabarow
Gender	Male
Speciality	Urology
Location	2296 Opitz Blvd Ste 350, Woodbridge, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649630211
Provider Enumeration Date: 02/25/2016
Last Update Date: 12/15/2022

Medicare PECOS Information:

PECOS PAC ID: 2062677982
Enrollment ID: I20220510001801

Medical Identifiers

Medical identifiers for Alexander Maxwell Kandabarow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649630211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	00000000 (Illinois)	Secondary
208800000X	Urology	036155865 (Illinois)	Secondary
208800000X	Urology	125068288 (Illinois)	Secondary
208800000X	Urology	0101274595 (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. Alexander Maxwell Kandabarow allows following entities to bill medicare on his behalf.

Entity Name	Potomac Urology Center, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861588592 PECOS PAC ID: 1557329406 Enrollment ID: O20041227000203

Entity Name	Potomac Urology Surgery Center, Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1629659800 PECOS PAC ID: 1557767860 Enrollment ID: O20210913002133

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. Alexander Maxwell Kandabarow 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
Alexander Maxwell Kandabarow, MD 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191-3346 Ph: (703) 680-2111	Alexander Maxwell Kandabarow, MD 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191-3346 Ph: (703) 680-2111

Reviews and Comments

Urology Doctors in Woodbridge, VA

Dr. Shawn Marhamati, M.D: Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191 Phone: 703-680-2111
Dr. Brian John Decastro, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191 Phone: 703-546-4782 Fax: 703-546-4782
Ek Seng Lou, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191 Phone: 703-680-2111 Fax: 703-878-3939
Dr. John Brian Klein, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191 Phone: 703-680-2111
Dr. Pratik S Desai, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191 Phone: 703-680-2111 Fax: 703-878-3939
William C. Reha, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd, #220, Woodbridge, VA 22191 Phone: 703-670-5107 Fax: 703-670-8435
Alok S Desai, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191 Phone: 703-680-2111 Fax: 703-878-3939

Alexander Maxwell Kandabarow, MD - Medicare Urology in Woodbridge, VA