Paul S Kruszka Jr, MD, MPH is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Charlottesville, Virginia. His current practice location is
1215 Lee St, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 924-3627.
Paul S Kruszka Jr is licensed to practice in Virginia (license number 0101222971) 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 1871596163.
Physician's Profile
| Full Name | Paul S Kruszka Jr |
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| Gender | Male |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 1215 Lee St, Charlottesville, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871596163
- Provider Enumeration Date: 05/31/2005
- Last Update Date: 03/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 0648206433
- Enrollment ID: I20250303002191
Medical Identifiers
Medical identifiers for Paul S Kruszka Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871596163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 0101222971 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | C1-0006197 (Delaware) | Secondary |
| 208000000X | Pediatrics | 0101222971 (Virginia) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 0101222971 (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. Paul S Kruszka Jr allows following entities to bill medicare on his behalf.
| Entity Name | University Of Virginia Physicians Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033138250
PECOS PAC ID: 4880590728
Enrollment ID: O20040102000780 |
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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. Paul S Kruszka Jr 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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Paul S Kruszka Jr, MD, MPH
Po Box 749112,
Atlanta, GA 30374-9112
Ph: (434) 295-1000 | Paul S Kruszka Jr, MD, MPH
1215 Lee St,
Charlottesville, VA 22908-1797
Ph: (434) 924-3627 |
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