Rod Stephen Kubley, MD | |
1919 Lake Ave, Suite 104, Plymouth, IN 46563-7830 | |
(574) 941-2929 | |
(574) 941-3008 |
Full Name | Rod Stephen Kubley |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 40 Years |
Location | 1919 Lake Ave, Plymouth, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821037532 | NPI | - | NPPES |
021236800 | Other | IN | FEDERAL BLACK LUNG PIN |
100173750B | Medicaid | IN | |
000000216243 | Other | IN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01035442 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
Miller's Merry Manor | Plymouth, IN | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Joseph Regional Medical Center Inc | 8325950843 | 101 |
Entity Name | Saint Joseph Regional Medical Center- Plymouth Campus Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538585187 PECOS PAC ID: 9537071337 Enrollment ID: O20031223000588 |
Entity Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841245594 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
Entity Name | Saint Joseph Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
Mailing Address | Practice Location Address |
---|---|
Rod Stephen Kubley, MD 707 E Cedar St, Ste 200, South Bend, IN 46617-2057 Ph: (574) 335-8700 | Rod Stephen Kubley, MD 1919 Lake Ave, Suite 104, Plymouth, IN 46563-7830 Ph: (574) 941-2929 |
Laura Elizabeth Blackford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2349 Lake Ave, Suite 100, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-948-5499 | |
Viraj S Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1904 Lake Ave, Plymouth, IN 46563 Phone: 574-936-3178 Fax: 574-936-1084 | |
Rebecca M Brice, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1915 Lake Ave, Plymouth, IN 46563 Phone: 574-948-4000 Fax: 574-948-5454 | |
Abdul Sami Qazi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1915 Lake Ave, Plymouth, IN 46563 Phone: 574-948-4000 Fax: 574-948-5454 | |
Craig B Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2349 Lake Ave Ste 100, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-948-5499 | |
Tod Alan Stillson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 E Jefferson St, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-335-0745 | |
Dr. Sally Beazlie-walker, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 E Jefferson St, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-348-0745 |