Leonardo Tjahjono, MD in Greenbelt, MD

Leonardo Tjahjono, MD is a medicare enrolled "Dermatology" physician in Greenbelt, Maryland. His current practice location is 7500 Greenway Center Dr Ste 1220, Greenbelt, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 615-1986.

Leonardo Tjahjono is licensed to practice in District Of Columbia (license number MD600004150) 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 1194285072.

Contact Information

	Leonardo Tjahjono, MD
	7500 Greenway Center Dr Ste 1220, Greenbelt, MD 20770-3590
	(301) 615-1986
	(301) 200-8767

Map and Direction

Physician's Profile

Full Name	Leonardo Tjahjono
Gender	Male
Speciality	Dermatology
Location	7500 Greenway Center Dr Ste 1220, Greenbelt, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194285072
Provider Enumeration Date: 03/25/2019
Last Update Date: 06/25/2025

Medicare PECOS Information:

PECOS PAC ID: 7012347891
Enrollment ID: I20240914000809

Medical Identifiers

Medical identifiers for Leonardo Tjahjono such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194285072	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	0101277702 (Virginia)	Secondary
207N00000X	Dermatology	MD600004150 (District Of Columbia)	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. Leonardo Tjahjono allows following entities to bill medicare on his behalf.

Entity Name	Integrated Dermatology Of White Plains Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225581879 PECOS PAC ID: 5496037848 Enrollment ID: O20170120000761

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. Leonardo Tjahjono 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
Leonardo Tjahjono, MD 1321 Rhode Island Ave Nw Apt 2, Washington, DC 20005-4871 Ph: () -	Leonardo Tjahjono, MD 7500 Greenway Center Dr Ste 1220, Greenbelt, MD 20770-3590 Ph: (301) 615-1986

Reviews and Comments

Dermatology Doctors in Greenbelt, MD

Dr. Eric Finzi, MD Dermatology Medicare: Medicare Enrolled Practice Location: 7701 Greenbelt Rd, 504, Greenbelt, MD 20770 Phone: 301-345-7375 Fax: 301-345-7269
Lacartia Best, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 7501 Greenway Center Dr Fl 10, Greenbelt, MD 20770 Phone: 301-345-7375

Leonardo Tjahjono, MD - Medicare Dermatology in Greenbelt, MD