Dr Douglas Carl Kubek, DO in Saint Clair Shores, MI

Dr Douglas Carl Kubek, DO is a medicare enrolled "Otolaryngology - Sleep Medicine" physician in Saint Clair Shores, Michigan. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 1995 and has 30 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Ascension St John Hospital, Lakeshore Ear Nose And Throat Center Pc and his current practice location is 21000 E 12 Mile Rd, Ste 111, Saint Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 779-7610.

Dr Douglas Carl Kubek is licensed to practice in Michigan (license number 5101012806) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003903832.

Contact Information

	Dr Douglas Carl Kubek, DO
	21000 E 12 Mile Rd, Ste 111, Saint Clair Shores, MI 48081-1156
	(586) 779-7610
	(586) 779-1391

Map and Direction

Physician's Profile

Full Name	Dr Douglas Carl Kubek
Gender	Male
Speciality	Otolaryngology
Experience	30 Years
Location	21000 E 12 Mile Rd, Saint Clair Shores, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Douglas Carl Kubek attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 1995

NPI Data:

NPI Number: 1003903832
Provider Enumeration Date: 10/05/2006
Last Update Date: 03/09/2021

Medicare PECOS Information:

PECOS PAC ID: 9931278579
Enrollment ID: I20080521000862

Medical Identifiers

Medical identifiers for Dr Douglas Carl Kubek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003903832	NPI	-	NPPES
0455010215	Other	MI	BCBSM
14075	Other	MI	MCARE
040E061920	Other		BLUE SHIELD
133060	Other	MI	CARE CHOICES
104200	Other	MI	GREAT LAKES HMO
4535235	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YS0012X	Otolaryngology - Sleep Medicine	5101012806 (Michigan)	Primary
207YX0007X	Otolaryngology - Plastic Surgery Within The Head & Neck	5101012806 (Michigan)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St John Hospital	Detroit, MI	Hospital
Henry Ford Macomb Hospital	Clinton township, MI	Hospital
Mclaren Macomb	Mount clemens, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ascension St John Hospital	3173424082	305
Lakeshore Ear Nose And Throat Center Pc	7315928934	8

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. Dr Douglas Carl Kubek allows following entities to bill medicare on his behalf.

Entity Name	Ascension Medical Group Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942317631 PECOS PAC ID: 0648180406 Enrollment ID: O20031113000362

Entity Name	Ascension St John Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409

Entity Name	Lakeshore Ear Nose And Throat Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285803346 PECOS PAC ID: 7315928934 Enrollment ID: O20040528000112

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. Dr Douglas Carl Kubek 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
Dr Douglas Carl Kubek, DO 21000 E 12 Mile Rd, Ste 111, Saint Clair Shores, MI 48081-1156 Ph: (586) 263-7400	Dr Douglas Carl Kubek, DO 21000 E 12 Mile Rd, Ste 111, Saint Clair Shores, MI 48081-1156 Ph: (586) 779-7610

Reviews and Comments

Otolaryngology Doctors in Saint Clair Shores, MI

Dr. Andrew Bennett Sewell, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 Fax: 586-779-0031
Dr. Michael S Fozo, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610
Dr. Andrew I. Dzul, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610
Dr. Adam D Rubin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610
Dr. Robert E Brammer, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610
Cameron M Heilbronn, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 Fax: 586-779-7882

Dr Douglas Carl Kubek, DO - Medicare Otolaryngology in Saint Clair Shores, MI