Evan Loren Kulbacki, MD in Kingsport, TN

Evan Loren Kulbacki, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Kingsport, Tennessee. He went to University Of Utah School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Highlands Pathology Consultants, P.c. and his current practice location is 130 W Ravine Rd, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 224-6711.

Evan Loren Kulbacki is licensed to practice in Tennessee (license number 49647) 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 1659531408.

Contact Information

	Evan Loren Kulbacki, MD
	130 W Ravine Rd, Kingsport, TN 37660-3837
	(423) 224-6711
	(423) 224-6717

Map and Direction

Physician's Profile

Full Name	Evan Loren Kulbacki
Gender	Male
Speciality	Pathology
Experience	16 Years
Location	130 W Ravine Rd, Kingsport, Tennessee
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:

Evan Loren Kulbacki attended and graduated from University Of Utah School Of Medicine in 2008

NPI Data:

NPI Number: 1659531408
Provider Enumeration Date: 06/16/2008
Last Update Date: 09/08/2016

Medicare PECOS Information:

PECOS PAC ID: 4880833771
Enrollment ID: I20130626000155

Medical Identifiers

Medical identifiers for Evan Loren Kulbacki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659531408	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZH0000X	Pathology - Hematology	49647 (Tennessee)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	49647 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital
Indian Path Community Hospital	Kingsport, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Highlands Pathology Consultants, P.c.	3173515715	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. Evan Loren Kulbacki allows following entities to bill medicare on his behalf.

Entity Name	Highlands Pathology Consultants, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063498970 PECOS PAC ID: 3173515715 Enrollment ID: O20040401001430

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. Evan Loren Kulbacki 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
Evan Loren Kulbacki, MD 2175 Highway 75, Suite 4, Blountville, TN 37617 Ph: (423) 323-5290	Evan Loren Kulbacki, MD 130 W Ravine Rd, Kingsport, TN 37660-3837 Ph: (423) 224-6711

Reviews and Comments

Pathology Doctors in Kingsport, TN

Dr. Emanuela Ft Veras, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-6711 Fax: 423-224-6717
Laura Evelyn Stewart, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-6711 Fax: 423-224-6717
Gary L Adelson, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-6718 Fax: 423-224-6717
Kristin Pierce, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-6718 Fax: 423-224-6717
Marcus C Grimes, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-6718 Fax: 423-224-6717
Christopher T Heitz, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-6711 Fax: 423-224-6717
Peter F Gale, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-6718 Fax: 423-224-6717

Evan Loren Kulbacki, MD - Medicare Pathology in Kingsport, TN