John Kuckelman, is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Joint Base Lewis Mcchord, Washington. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2014 and has 12 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Franciscan Medical Group, Providence Health And Services Washington and his current practice location is
9040 Jackson Ave, Joint Base Lewis Mcchord, Washington. You can reach out to his office (for appointments etc.) via phone at
(253) 968-1110.
John Kuckelman is licensed to practice in Washington (license number DO.OP.61502437-IMLC) 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 1669882304.
Physician's Profile
| Full Name | John Kuckelman |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 12 Years |
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| Location | 9040 Jackson Ave, Joint Base Lewis Mcchord, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John Kuckelman attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2014
NPI Data:
- NPI Number: 1669882304
- Provider Enumeration Date: 05/03/2014
- Last Update Date: 05/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941516066
- Enrollment ID: I20241003001938
Medical Identifiers
Medical identifiers for John Kuckelman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669882304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 92772 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | DO.OP.61502437-IMLC (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Franciscan Medical Group | 0547173866 | 1259 |
| Providence Health And Services Washington | 6709782600 | 428 |
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. John Kuckelman allows following entities to bill medicare on his behalf.
| Entity Name | Multicare Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497766638
PECOS PAC ID: 7719899897
Enrollment ID: O20031105000760 |
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| Entity Name | Franciscan Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093165334
PECOS PAC ID: 0547173866
Enrollment ID: O20031111000789 |
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| Entity Name | Providence Health & Services Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174744304
PECOS PAC ID: 6709782600
Enrollment ID: O20031211000028 |
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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. John Kuckelman 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 |
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John Kuckelman,
9040 Jackson Ave,
Tacoma, WA 98431-0001
Ph: (253) 968-1110 | John Kuckelman,
9040 Jackson Ave,
Joint Base Lewis Mcchord, WA 98431-1000
Ph: (253) 968-1110 |
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