Bryan P Pucik, MD | |
1230 E. Main Street, Mankato Clinic @ Main Street, Mankato, MN 56002-8674 | |
(507) 625-1811 | |
Not Available |
Full Name | Bryan P Pucik |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 1230 E. Main Street, Mankato, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073592077 | NPI | - | NPPES |
HP18443 | Other | MN | HEALTH PARTNERS |
1675630 | Other | MN | AMERICAS PPO |
410849339 56001 C173 | Other | CHAMPUS | |
NA2951023852 | Other | MN | PREFERRED ONE |
56BO8PU | Other | MN | BCBS |
101792 | Other | MN | UCARE |
805722200 | Medicaid | MN | |
080159110 | Other | RR MEDICARE | |
0118371 | Other | MN | MEDICA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 53516 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | 37212 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mankato Clinic Ltd | 5597677955 | 193 |
Entity Name | Mankato Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231 |
Mailing Address | Practice Location Address |
---|---|
Bryan P Pucik, MD Po Box 8674 1230 E. Main Street, Mankato Clinic, Ltd, Mankato, MN 56002-8674 Ph: (507) 625-1811 | Bryan P Pucik, MD 1230 E. Main Street, Mankato Clinic @ Main Street, Mankato, MN 56002-8674 Ph: (507) 625-1811 |
Sangil Lee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-254-6121 | |
Alyssa L Stitt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1230 E Main Street, Mankato Clinic, Mankato, MN 56002 Phone: 507-625-1811 | |
Michael B Rath, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1809 Adams St, Mankato Clinic @ Adams Street, Mankato, MN 56001 Phone: 507-625-1811 | |
Richard J Peller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1421 Premier Dr, Mankato Clinic, Mankato, MN 56001 Phone: 507-625-1811 | |
Corina Narvaez Jacob, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Martin Luther King Dr, Mankato, MN 56001 Phone: 507-385-6500 | |
Artika Misra, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 |