Mrs Nichol Michelle Kubiak, RD, CSSD, LMNT is a medicare enrolled "Dietitian, Registered" provider in Ralston, Nebraska. Her current practice location is
7305 Main St, Ralston, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 614-5362.
Mrs Nichol Michelle Kubiak is licensed to practice in Nebraska (license number 1238) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982078622.
Healthcare Provider's Profile
| Full Name | Mrs Nichol Michelle Kubiak |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 7305 Main St, Ralston, Nebraska |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982078622
- Provider Enumeration Date: 11/18/2015
- Last Update Date: 11/18/2015
Medicare PECOS Information:
- PECOS PAC ID: 0345639563
- Enrollment ID: I20211109003478
Medical Identifiers
Medical identifiers for Mrs Nichol Michelle Kubiak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1982078622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 1238 (Nebraska) | Primary |
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. Mrs Nichol Michelle Kubiak allows following entities to bill medicare on her behalf.
| Provider Name | Oneworld Community Health Centers Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1952330649 PECOS PAC ID: 3173435153 Enrollment ID: O20080624000545 |
|---|
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. Mrs Nichol Michelle Kubiak 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 |
Mrs Nichol Michelle Kubiak, RD, CSSD, LMNT 7305 Main St, Ralston, NE 68127-3913 Ph: (402) 614-5362 | Mrs Nichol Michelle Kubiak, RD, CSSD, LMNT 7305 Main St, Ralston, NE 68127-3913 Ph: (402) 614-5362 |
Reviews and Comments