Jacquelyn Michelle Kukulski, DO - Medicare Pediatrics in Miami, FL

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Jacquelyn Michelle Kukulski, DO is a medicare enrolled "Pediatrics" physician in Miami, Florida. Her current practice location is 3100 Sw 62nd Ave, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at (305) 666-6511.

Jacquelyn Michelle Kukulski is licensed to practice in Illinois (license number 125.074969) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215499249.

Contact Information

Jacquelyn Michelle Kukulski, DO
3100 Sw 62nd Ave,
Miami, FL 33155-3009
(305) 666-6511
Not Available

Map and Direction




Physician's Profile

Full NameJacquelyn Michelle Kukulski
GenderFemale
SpecialityPediatrics
Location3100 Sw 62nd Ave, Miami, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215499249
  • Provider Enumeration Date: 04/01/2019
  • Last Update Date: 08/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9537519301
  • Enrollment ID: I20231220002932

Medical Identifiers

Medical identifiers for Jacquelyn Michelle Kukulski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215499249NPI-NPPES
390200000XMedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 125.074969 (Illinois)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. Jacquelyn Michelle Kukulski allows following entities to bill medicare on her behalf.
Entity NameCommunity Care Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457610487
PECOS PAC ID: 3678737012
Enrollment ID: O20120614000331

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. Jacquelyn Michelle Kukulski 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 AddressPractice Location Address
Jacquelyn Michelle Kukulski, DO
3100 Sw 62nd Ave,
Miami, FL 33155-3009

Ph: (305) 666-6511		Jacquelyn Michelle Kukulski, DO
3100 Sw 62nd Ave,
Miami, FL 33155-3009

Ph: (305) 666-6511

Reviews and Comments


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Dan Kim Pham,
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Dr. Maria Del Pilar Rivero, MD
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Stephanie Dechurch, MD
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Gloria E Burgos, MD
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Practice Location: 3601 Federal Hwy, Miami, FL 33137
Phone: 305-576-6611    Fax: 305-576-0008
Dr. Teresita Fox, M.D.
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Medicare: Medicare Enrolled
Practice Location: 3100 Sw 62nd Ave, Miami, FL 33155
Phone: 561-624-9188    Fax: 561-514-7217

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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