Dr Gary A Bubak, MD is a
Internal Medicine physician based in Wagner, South Dakota. Dr Gary A Bubak is licensed to practice in South Dakota (license number 1400) and his current practice location is 517 3rd St Sw, Wagner, South Dakota. He can be reached at his office (for appointments etc.) via phone at
(605) 384-5457.
NPI number for Dr Gary A Bubak is 1558362244 and his current mailing address is Po Box 190, Wagner, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558362244.
Physician's Profile
| Full Name | Dr Gary A Bubak |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 517 3rd St Sw, Wagner, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558362244
- Provider Enumeration Date: 08/03/2005
- Last Update Date: 06/16/2008
Medical Identifiers
Medical identifiers for Dr Gary A Bubak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558362244 | NPI | - | NPPES |
| 6001080 | Medicaid | SD | |
| 0009387 | Other | SD | BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 1400 (South Dakota) | Primary |
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. Dr Gary A Bubak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gary A Bubak, MD
Po Box 190,
Wagner, SD 57380-0190
Ph: (605) 384-5457 | Dr Gary A Bubak, MD
517 3rd St Sw,
Wagner, SD 57380-9675
Ph: (605) 384-5457 |
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