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Andrew John Kobalka

Student in an Organized Health Care Education/Training Program

Student, Health Care

3000 Arlington Avenue, Andrew Kobalka C/O Department Of Pathology, Toledo, OH 43614

PECOS Enrollment

This provider is enrolled in PECOS as ANDREW KOBALKA.

Based on the most recent information from CMS, provider Andrew John Kobalka is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:36 AM.

Profile Details

Provider ID
1235797861
Provider Type
Individual
Full Name
Kobalka, Andrew John
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/29/2019
Last Updated
5/29/2019

Contact Information

Practice Location

3000 Arlington Avenue, Andrew Kobalka C/O Department Of Pathology, Toledo, OH 43614

(614) 582-9051

Unlisted Fax

Mailing Location

3000 Arlington Avenue, Andrew Kobalka C/O Department Of Pathology, Toledo, OH 43614

(614) 582-9051

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Andrew John Kobalka

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

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