Dr Joshua Shepard Kucker, MD is a medicare enrolled "Emergency Medicine" physician in Windsor, California. His current practice location is
179 Bouquet Cir, Windsor, California. You can reach out to his office (for appointments etc.) via phone at
(904) 307-3440.
Dr Joshua Shepard Kucker is licensed to practice in California (license number A98059) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336103324.
Physician's Profile
| Full Name | Dr Joshua Shepard Kucker |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 179 Bouquet Cir, Windsor, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336103324
- Provider Enumeration Date: 04/14/2006
- Last Update Date: 12/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 7214984707
- Enrollment ID: I20070323000549
Medical Identifiers
Medical identifiers for Dr Joshua Shepard Kucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336103324 | NPI | - | NPPES |
| 177578503 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | M1853 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | A98059 (California) | 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. Dr Joshua Shepard Kucker allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Dr Joshua Shepard Kucker 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 |
|---|
Dr Joshua Shepard Kucker, MD
Po Box 977,
Windsor, CA 95492-0977
Ph: (904) 307-3440 | Dr Joshua Shepard Kucker, MD
179 Bouquet Cir,
Windsor, CA 95492-9607
Ph: (904) 307-3440 |
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