Diana Shustarovich, MD - Medicare Obstetrics & Gynecology in Reston, VA

Diana Shustarovich, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Reston, Virginia. Her current practice location is 1850 Town Center Pkwy Ste 650, Reston, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 955-5978.

Diana Shustarovich is licensed to practice in Virginia (license number 0101274112) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124558408.

Contact Information

Diana Shustarovich, MD
1850 Town Center Pkwy Ste 650,
Reston, VA 20190-3300
(703) 955-5978
Not Available



Physician's Profile

Full NameDiana Shustarovich
GenderFemale
SpecialityObstetrics & Gynecology
Location1850 Town Center Pkwy Ste 650, Reston, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124558408
  • Provider Enumeration Date: 06/19/2017
  • Last Update Date: 02/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2860763711
  • Enrollment ID: I20221110000006

Medical Identifiers

Medical identifiers for Diana Shustarovich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124558408NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 0101274112 (Virginia)Primary
207V00000XObstetrics & Gynecology D0092078 (Maryland)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Diana Shustarovich allows following entities to bill medicare on her behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298

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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. Diana Shustarovich 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
Diana Shustarovich, MD
3401 Sherman Ave Nw Unit A,
Washington, DC 20010-3600

Ph: (347) 247-8337
Diana Shustarovich, MD
1850 Town Center Pkwy Ste 650,
Reston, VA 20190-3300

Ph: (703) 955-5978

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Obstetrics & Gynecology Doctors in Reston, VA

Dr. Carl Theodore Brown, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1890 Metro Center Dr, Kaiser Permanente Reston Medical Center, Reston, VA 20190
Phone: 703-709-1500    
Dr. Kathleen A Rausch, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Town Center Dr Ste 222, Reston, VA 20190
Phone: 703-834-6244    Fax: 703-834-6288
Dr. Issam Mahmoud Shebaro, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 11445 Sunset Hills Road, Reston, VA 20190
Phone: 703-709-1500    Fax: 703-709-1711
Dr. Wesley Raymond Hodgson, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1850 Town Center Pkwy, Reston, VA 20190
Phone: 703-689-9113    
Dr. Camilla C. Hersh, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Town Center Drive Suite 220, Reston, VA 20190
Phone: 703-435-2555    Fax: 571-926-8910
Dr. Sherri L Franklin, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1830 Town Center Dr, Suite 207, Reston, VA 20190
Phone: 703-437-0001    Fax: 703-787-5739

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