Michael Kubek Iv, DO is a medicare enrolled "Emergency Medicine" physician in Northville, Michigan. His current practice location is
19805 Crystal Lake Dr, Northville, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 449-6425.
Michael Kubek Iv is licensed to practice in Michigan (license number 5101016047) 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 1922270933.
Physician's Profile
Full Name | Michael Kubek Iv |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 19805 Crystal Lake Dr, Northville, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922270933
- Provider Enumeration Date: 03/31/2008
- Last Update Date: 03/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 3274604418
- Enrollment ID: I20080617000083
Medical Identifiers
Medical identifiers for Michael Kubek Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922270933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 5101016047 (Michigan) | Primary |
207P00000X | Emergency Medicine | 02003348A (Indiana) | Secondary |
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. Michael Kubek Iv allows following entities to bill medicare on his behalf.
Entity Name | St. Vincent Emergency Physicians, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306891700 PECOS PAC ID: 1759363450 Enrollment ID: O20040720000734 |
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Entity Name | Indiana Physician Management-northeast, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740431576 PECOS PAC ID: 0941363071 Enrollment ID: O20090115000124 |
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Entity Name | Indiana Physician Management Rush Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821364654 PECOS PAC ID: 7618130014 Enrollment ID: O20120523000003 |
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Entity Name | Cep America Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
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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. Michael Kubek Iv 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 |
Michael Kubek Iv, DO 6245 Inkster Rd, Garden City, MI 48135-4001 Ph: (734) 458-3430 | Michael Kubek Iv, DO 19805 Crystal Lake Dr, Northville, MI 48167-2522 Ph: (248) 449-6425 |
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