Paul S Kruszka Jr, MD, MPH - Medicare Medical Genetics And Genomics in Charlottesville, VA

Paul S Kruszka Jr, MD, MPH is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Charlottesville, Virginia. He went to University Of Michigan Medical School and graduated in 1998 and has 28 years of diverse experience with area of expertise as Medical Genetics And Genomics. He is a member of the group practice University Of Virginia Physicians Group and 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 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 1871596163.

Contact Information

Paul S Kruszka Jr, MD, MPH
1215 Lee St,
Charlottesville, VA 22908-1797
(434) 924-3627
Not Available

Map and Direction




Physician's Profile

Full NamePaul S Kruszka Jr
GenderMale
SpecialityMedical Genetics And Genomics
Experience28 Years
Location1215 Lee St, Charlottesville, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Paul S Kruszka Jr attended and graduated from University Of Michigan Medical School in 1998
  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.
IdentifierTypeStateIssuer
1871596163NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101222971 (Virginia)Secondary
207Q00000XFamily Medicine C1-0006197 (Delaware)Secondary
208000000XPediatrics 0101222971 (Virginia)Secondary
207SG0201XMedical Genetics - Clinical Genetics (m.d.) 0101222971 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Virginia Physicians Group48805907281547

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 NameUniversity Of Virginia Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033138250
PECOS PAC ID: 4880590728
Enrollment ID: O20040102000780

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 AddressPractice Location Address
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

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.