Mr Michael Ricky Bubacz, MSN, APNP is a
Nurse Practitioner - Adult Health based in Lake Tomahawk, Wisconsin. Mr Michael Ricky Bubacz is licensed to practice in Wisconsin (license number 2806-33) and his current practice location is
7520 Wolf Rd, Lake Tomahawk, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 277-2848.
NPI number for Mr Michael Ricky Bubacz is 1679760128 and his current mailing address is 7520 Wolf Rd, Lake Tomahawk, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679760128.
Provider's Profile
| Full Name | Mr Michael Ricky Bubacz |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 7520 Wolf Rd, Lake Tomahawk, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679760128
- Provider Enumeration Date: 09/28/2007
- Last Update Date: 09/28/2007
Medical Identifiers
Medical identifiers for Mr Michael Ricky Bubacz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679760128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 2806-33 (Wisconsin) | 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. Mr Michael Ricky Bubacz 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 |
|---|
Mr Michael Ricky Bubacz, MSN, APNP
7520 Wolf Rd,
Lake Tomahawk, WI 54539-9487
Ph: (715) 277-2848 | Mr Michael Ricky Bubacz, MSN, APNP
7520 Wolf Rd,
Lake Tomahawk, WI 54539-9487
Ph: (715) 277-2848 |
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