Georgia Blackwood Kubic, MD in Salt Lake City, UT

Georgia Blackwood Kubic, MD is a medicare enrolled "Family Medicine" physician in Salt Lake City, Utah. She went to Virginia Commonwealth University, School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Alaska Native Tribal Health Consortium, Select Physical Therapy Holdings Inc and her current practice location is 375 Chipeta Way, University Of Utah Family Medicine Residency, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 587-3411.

Georgia Blackwood Kubic is licensed to practice in Utah (license number 8406695-1205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235429655.

Contact Information

	Georgia Blackwood Kubic, MD
	375 Chipeta Way, University Of Utah Family Medicine Residency, Salt Lake City, UT 84108-1260
	(801) 587-3411
	Not Available

Map and Direction

Physician's Profile

Full Name	Georgia Blackwood Kubic
Gender	Female
Speciality	Family Practice
Experience	13 Years
Location	375 Chipeta Way, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Georgia Blackwood Kubic attended and graduated from Virginia Commonwealth University, School Of Medicine in 2011

NPI Data:

NPI Number: 1235429655
Provider Enumeration Date: 04/19/2011
Last Update Date: 08/20/2014

Medicare PECOS Information:

PECOS PAC ID: 7911139761
Enrollment ID: I20141203000295

Medical Identifiers

Medical identifiers for Georgia Blackwood Kubic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235429655	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	8406695-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alaska Native Medical Center	Anchorage, AK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Alaska Native Tribal Health Consortium	6709780265	449
Select Physical Therapy Holdings Inc	9537076401	1557

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. Georgia Blackwood Kubic allows following entities to bill medicare on her behalf.

Entity Name	Alaska Native Tribal Health Consortium
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772

Entity Name	Southcentral Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416

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. Georgia Blackwood Kubic 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
Georgia Blackwood Kubic, MD 2232 Haversham Close, Virginia Beach, VA 23454-1151 Ph: (757) 630-4046	Georgia Blackwood Kubic, MD 375 Chipeta Way, University Of Utah Family Medicine Residency, Salt Lake City, UT 84108-1260 Ph: (801) 587-3411

Reviews and Comments

Family Medicine Doctors in Salt Lake City, UT

Dr. Roy Lewis James, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 675 E 2100 S, Suite 390, Salt Lake City, UT 84106 Phone: 800-366-1884 Fax: 801-487-8197
Cynthia M Mathewson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1525 W 2100 S, Salt Lake City, UT 84119 Phone: 801-887-2400
Peter Thompson Weir, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 Foothill Dr, Salt Lake City, UT 84112 Phone: 801-585-5382
Lisa J Hill, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6556 S Big Cottonwood Canyon Rd Ste 500a, Salt Lake City, UT 84121 Phone: 385-246-1117 Fax: 385-246-1117
Amy Noel De La Garza, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 E South Temple Ste 101, Salt Lake City, UT 84102 Phone: 801-369-8989 Fax: 801-704-9741
Dr. Laura M. Yeater, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 375 S Chipeta Way Ste A, Salt Lake City, UT 84108 Phone: 801-587-3411 Fax: 801-581-2771
Ms. Shannon B. Mckim, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 375 S Chipeta Way Rm 201, Salt Lake City, UT 84108 Phone: 801-581-2121

Georgia Blackwood Kubic, MD - Medicare Family Practice in Salt Lake City, UT