Tanya Martha Kubista, MA LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Crosby, Minnesota. Her current practice location is
207 1st St Nw, Crosby, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 585-2052.
Tanya Martha Kubista is licensed to practice in Minnesota (license number 2613) 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 1154711406.
Healthcare Provider's Profile
Full Name | Tanya Martha Kubista |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 207 1st St Nw, Crosby, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154711406
- Provider Enumeration Date: 01/26/2015
- Last Update Date: 05/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587009253
- Enrollment ID: I20240304003334
Medical Identifiers
Medical identifiers for Tanya Martha Kubista such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154711406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 2613 (Minnesota) | 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. Tanya Martha Kubista allows following entities to bill medicare on her behalf.
Entity Name | Clearwaters Crosby Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093389736 PECOS PAC ID: 2769827435 Enrollment ID: O20240304003263 |
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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. Tanya Martha Kubista 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 |
Tanya Martha Kubista, MA LMFT 15157 Ladyslipper Lane, Deerwood, MN 56444-8918 Ph: (218) 825-1021 | Tanya Martha Kubista, MA LMFT 207 1st St Nw, Crosby, MN 56441-1301 Ph: (218) 585-2052 |
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