Ms Carolyn Kubacak, CRNA is a
Nurse Anesthetist, Certified Registered based in Hereford, Texas. Ms Carolyn Kubacak is licensed to practice in Texas (license number 028421) and her current practice location is
801 E 3rd St, Hereford, Texas. She can be reached at her office (for appointments etc.) via phone at
(806) 364-2141.
NPI number for Ms Carolyn Kubacak is 1164414223 and her current mailing address is 801 E 3rd St, Hereford, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164414223.
Provider's Profile
| Full Name | Ms Carolyn Kubacak |
|---|
| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 801 E 3rd St, Hereford, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164414223
- Provider Enumeration Date: 08/16/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Carolyn Kubacak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164414223 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 028421 (Texas) | 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. Ms Carolyn Kubacak 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 |
|---|
Ms Carolyn Kubacak, CRNA
801 E 3rd St,
Hereford, TX 79045-5727
Ph: (806) 364-2141 | Ms Carolyn Kubacak, CRNA
801 E 3rd St,
Hereford, TX 79045-5727
Ph: (806) 364-2141 |
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