| Dr Jacob Heath Palubicki, MD | |
|
650 Joel Dr, Fort Campbell, KY 42223-5318 | |
| (270) 798-8407 | |
| (270) 798-8721 |
| Full Name | Dr Jacob Heath Palubicki |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 650 Joel Dr, Fort Campbell, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346681665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 73232 (Georgia) | Secondary |
| 208600000X | Surgery | MD60991541 (Washington) | Primary |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Heath Palubicki, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (702) 798-8407 | Dr Jacob Heath Palubicki, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8407 |
Dr. William W Chang, MD Surgery Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8407 | |
Chonna Lynn Kendrick, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223 Phone: 270-798-8727 | |
Ashley Chinn, Surgery Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 Fax: 270-798-8224 | |
Torbjorg Holtestaul, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Dr. Bethanny R Glahn, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Robert J Marx, DO Surgery Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8407 Fax: 270-798-8721 |