Dr David J Kouba, MD is a medicare enrolled "Dermatology" physician in Wauseon, Ohio. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2000 and has 25 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Toledo Clinic Incorporated, Toledo Clinic Pllc, Toledo Clinic Incorporated, Toledo Clinic Pllc and his current practice location is
1090 N Shoop Ave, Wauseon, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 330-5200.
Dr David J Kouba is licensed to practice in Ohio (license number 35089766) 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 1073561866.
Physician's Profile
| Full Name | Dr David J Kouba |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 25 Years |
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| Location | 1090 N Shoop Ave, Wauseon, Ohio |
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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 David J Kouba attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2000
NPI Data:
- NPI Number: 1073561866
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 12/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 3173512233
- Enrollment ID: I20070823000469
Medical Identifiers
Medical identifiers for Dr David J Kouba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073561866 | NPI | - | NPPES |
| 2809876 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 35089766 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Toledo Clinic Incorporated | 5698673382 | 231 |
| Toledo Clinic Pllc | 8426585142 | 11 |
| Toledo Clinic Incorporated | 5698673382 | 231 |
| Toledo Clinic Pllc | 8426585142 | 11 |
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 David J Kouba allows following entities to bill medicare on his behalf.
| Entity Name | Toledo Clinic Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669423455
PECOS PAC ID: 5698673382
Enrollment ID: O20040617001265 |
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| Entity Name | Toledo Clinic Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326538703
PECOS PAC ID: 8426585142
Enrollment ID: O20241223002570 |
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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 David J Kouba 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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Dr David J Kouba, MD
4235 Secor Rd,
Toledo, OH 43623
Ph: () - | Dr David J Kouba, MD
1090 N Shoop Ave,
Wauseon, OH 43567-1821
Ph: (419) 330-5200 |
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