| Dr Richard Joseph Kubicka, MD | |
|
919 Northland Dr, Princeton, MN 55371-2172 | |
| (763) 389-3344 | |
| Not Available |
| Full Name | Dr Richard Joseph Kubicka |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 31 Years |
| Location | 919 Northland Dr, Princeton, Minnesota |
| 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 |
|---|---|---|---|
| 1255369989 | NPI | - | NPPES |
| 260491400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 46028 (Minnesota) | Primary |
| 174400000X | Specialist | 46028 (Minnesota) | Secondary |
| 208600000X | Surgery | 46028 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Northland Regional Hospital | Princeton, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Express Care | 3375645179 | 1733 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Joseph Kubicka, MD 1700 University Ave W, Saint Paul, MN 55104-3727 Ph: () - | Dr Richard Joseph Kubicka, MD 919 Northland Dr, Princeton, MN 55371-2172 Ph: (763) 389-3344 |
Robert K Brownawell, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 919 Northland Dr, Princeton, MN 55371 Phone: 763-389-6353 |