Katie Lianne Jubala, FNP-C is a medicare enrolled "Nurse Practitioner" physician in Shreveport, Louisiana. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lsu Health Sciences Center Shreveport Faculty Group Practice and her current practice location is
1501 Kings Hwy, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 675-6153.
Katie Lianne Jubala is licensed to practice in Louisiana (license number 21224) 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 1063043271.
Physician's Profile
| Full Name | Katie Lianne Jubala |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 1501 Kings Hwy, Shreveport, Louisiana |
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| Accepts Medicare Assignments | Yes. She 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:
- Katie Lianne Jubala graduated from medical school in 2019
NPI Data:
- NPI Number: 1063043271
- Provider Enumeration Date: 01/28/2020
- Last Update Date: 04/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 0143647750
- Enrollment ID: I20200827002724
Medical Identifiers
Medical identifiers for Katie Lianne Jubala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063043271 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | AP144824 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | 21224 (Louisiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lsu Health Sciences Center Shreveport Faculty Group Practice | 4082902721 | 534 |
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. Katie Lianne Jubala allows following entities to bill medicare on her behalf.
| Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013374222
PECOS PAC ID: 4082902721
Enrollment ID: O20161012000307 |
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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. Katie Lianne Jubala 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 |
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Katie Lianne Jubala, FNP-C
1049 Spanish Moss Cir,
Bossier City, LA 71111-6417
Ph: (909) 645-5684 | Katie Lianne Jubala, FNP-C
1501 Kings Hwy,
Shreveport, LA 71103-4228
Ph: (318) 675-6153 |
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