Dorotha W Kubricht, NP is a
Clinical Nurse Specialist - Psychiatric/mental Health, Adult based in Clinton, Louisiana. Dorotha W Kubricht is licensed to practice in Louisiana (license number AP01080) and her current practice location is
11990 Jackson St, Clinton, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(225) 683-5292.
NPI number for Dorotha W Kubricht is 1255331468 and her current mailing address is Po Box 395, Clinton, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255331468.
Provider's Profile
Full Name | Dorotha W Kubricht |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
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Location | 11990 Jackson St, Clinton, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255331468
- Provider Enumeration Date: 07/29/2005
- Last Update Date: 03/29/2019
Medical Identifiers
Medical identifiers for Dorotha W Kubricht such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255331468 | NPI | - | NPPES |
1559270 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | AP01080 (Louisiana) | Secondary |
364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | AP01080 (Louisiana) | Primary |
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. Dorotha W Kubricht is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dorotha W Kubricht, NP Po Box 395, Clinton, LA 70722-0395 Ph: (225) 683-5292 | Dorotha W Kubricht, NP 11990 Jackson St, Clinton, LA 70722-3210 Ph: (225) 683-5292 |
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