Gerald Mark Kubik, is a medicare enrolled "Pediatrics" physician in Ashland, Wisconsin. His current practice location is
1615 Maple Ln Ste 1, Ashland, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 685-7500.
Gerald Mark Kubik is licensed to practice in Wisconsin (license number 36849-21) 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 1518994870.
Physician's Profile
| Full Name | Gerald Mark Kubik |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1615 Maple Ln Ste 1, Ashland, Wisconsin |
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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: 1518994870
- Provider Enumeration Date: 06/26/2006
- Last Update Date: 05/23/2016
Medicare PECOS Information:
- PECOS PAC ID: 8426201203
- Enrollment ID: I20130102000411
Medical Identifiers
Medical identifiers for Gerald Mark Kubik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518994870 | NPI | - | NPPES |
| 180014100 | Medicaid | MN | |
| 30086400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 36849-21 (Wisconsin) | 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. Gerald Mark Kubik allows following entities to bill medicare on his behalf.
| Entity Name | The Duluth Clinic Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245278209
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000120 |
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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. Gerald Mark Kubik 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 |
|---|
Gerald Mark Kubik,
1615 Maple Ln Ste 1,
Ashland, WI 54806-3610
Ph: (715) 685-7500 | Gerald Mark Kubik,
1615 Maple Ln Ste 1,
Ashland, WI 54806-3610
Ph: (715) 685-7500 |
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