| Mark J Kulbaski, MD | |
|
1 Pearl St, Suite 2000, Brockton, MA 02301 | |
| (508) 584-4104 | |
| (508) 584-4105 |
| Full Name | Mark J Kulbaski |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 35 Years |
| Location | 1 Pearl St, Brockton, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699756247 | NPI | - | NPPES |
| 110149524A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 78343 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Medical Center | Brockton, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Steward Medical Group Inc | 2860688728 | 602 |
| Bmc Affiliated Physicians, Inc. | 9830133123 | 376 |
| Entity Name | Bmc Affiliated Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245320910 PECOS PAC ID: 9830133123 Enrollment ID: O20050617000054 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J Kulbaski, MD 960 Massachusetts Avenue, Fl 2, Boston, MA 02118-2690 Ph: () - | Mark J Kulbaski, MD 1 Pearl St, Suite 2000, Brockton, MA 02301 Ph: (508) 584-4104 |
John Mitko, Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 | |
Philip A Cohen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl St, Suite 2000, Brockton, MA 02301 Phone: 508-584-4104 Fax: 508-584-2053 | |
Giovanni Agostino Ferrante, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 150-894-1700 | |
Dr. Henry Lin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0766 Fax: 508-565-0097 | |
Aqeel M Siddiqui, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 830 Oak St Ste 200w, Brockton, MA 02301 Phone: 774-480-1600 | |
Richard L Paulson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Pearl Street, Suite 2700, Brockton, MA 02301 Phone: 508-584-4104 Fax: 508-584-4105 | |
Kewei Zhang, Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7400 Fax: 508-941-6200 |