Dr Mark J Kubala, MD is a medicare enrolled "Specialist" physician in Beaumont, Texas. He went to University Of Texas Medical Branch At Galveston and graduated in 1958 and has 66 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Christus Trinity Clinic and his current practice location is
5235 Merlot Dr, Beaumont, Texas. You can reach out to his office (for appointments etc.) via phone at
(409) 781-8426.
Dr Mark J Kubala is licensed to practice in Texas (license number C0720) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497755391.
Physician's Profile
| Full Name | Dr Mark J Kubala |
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| Gender | Male |
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| Speciality | Neurosurgery |
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| Experience | 66 Years |
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| Location | 5235 Merlot Dr, Beaumont, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mark J Kubala attended and graduated from University Of Texas Medical Branch At Galveston in 1958
NPI Data:
- NPI Number: 1497755391
- Provider Enumeration Date: 07/21/2005
- Last Update Date: 09/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870552037
- Enrollment ID: I20100329000694
Medical Identifiers
Medical identifiers for Dr Mark J Kubala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497755391 | NPI | - | NPPES |
| 140007873 | Other | TX | RAILROAD MEDICARE |
| 125802205 | Medicaid | TX | |
| 4364874 | Other | TX | AETNA |
| 2824444001 | Other | TX | CIGNA |
| 8F3760 | Other | TX | BCBS |
| 148913001 | Medicaid | TX | |
| 0020HD | Other | TX | GROUP BCBS |
| A003 | Other | TX | TRICARE CHAMPUS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | C0720 (Texas) | Secondary |
| 174400000X | Specialist | C0720 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Christus Trinity Clinic | 3072426741 | 1217 |
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 Mark J Kubala allows following entities to bill medicare on his behalf.
| Entity Name | Christus Trinity Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091 |
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| Entity Name | Golden Triangle Neurocare Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154403863
PECOS PAC ID: 0648239897
Enrollment ID: O20041005000362 |
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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 Mark J Kubala 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 Mark J Kubala, MD
5235 Merlot Dr,
Beaumont, TX 77706-2577
Ph: (409) 781-8426 | Dr Mark J Kubala, MD
5235 Merlot Dr,
Beaumont, TX 77706-2577
Ph: (409) 781-8426 |
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