Dr Mark J Kubala, MD - Medicare Specialist in Beaumont, TX

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Dr Mark J Kubala, MD is a medicare enrolled "Specialist" physician in Beaumont, Texas. His current practice location is 5235 Merlot Dr, Beaumont, Texas. You can reach out to his office (for appointments etc.) via phone at (409) 781-8426.

Dr Mark J Kubala is licensed to practice in Texas (license number C0720) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497755391.

Contact Information

Dr Mark J Kubala, MD
5235 Merlot Dr,
Beaumont, TX 77706-2577
(409) 781-8426
Not Available

Map and Direction




Physician's Profile

Full NameDr Mark J Kubala
GenderMale
SpecialitySpecialist
Location5235 Merlot Dr, Beaumont, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497755391
  • Provider Enumeration Date: 07/21/2005
  • Last Update Date: 09/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870552037
  • Enrollment ID: I20100329000694

Medical Identifiers

Medical identifiers for Dr Mark J Kubala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497755391NPI-NPPES
140007873OtherTXRAILROAD MEDICARE
125802205MedicaidTX
4364874OtherTXAETNA
2824444001OtherTXCIGNA
8F3760OtherTXBCBS
148913001MedicaidTX
0020HDOtherTXGROUP BCBS
A003OtherTXTRICARE CHAMPUS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery C0720 (Texas)Secondary
174400000XSpecialist C0720 (Texas)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. Dr Mark J Kubala allows following entities to bill medicare on his behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091
Entity NameGolden Triangle Neurocare Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154403863
PECOS PAC ID: 0648239897
Enrollment ID: O20041005000362
Entity NameMark J Kubala Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275319139
PECOS PAC ID: 2668819640
Enrollment ID: O20240717000418

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 Mark J Kubala 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 AddressPractice Location Address
Dr Mark J Kubala, MD
5235 Merlot Dr,
Beaumont, TX 77706-2577

Ph: (409) 781-8426		Dr Mark J Kubala, MD
5235 Merlot Dr,
Beaumont, TX 77706-2577

Ph: (409) 781-8426

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.