| Perry B Kubek, DO | |
|
5970 Lemon St, East Petersburg, PA 17520-1316 | |
| (717) 569-7011 | |
| (717) 569-8694 |
| Full Name | Perry B Kubek |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 5970 Lemon St, East Petersburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669468583 | NPI | - | NPPES |
| 71741 S1QC | Other | PA | GEISINGER HEALTH PLAN |
| 561080 | Other | PA | HIGHMARK BLUE SHIELD |
| 1130425 | Other | PA | AETNA HMO |
| 7291120 | Other | PA | AETNA NON-HMO |
| H14465 | Other | PA | HEALTH ASSURANCE |
| P002562 | Other | PA | GATEWAY HEALTH PLAN |
| 0017934970003 | Medicaid | PA | |
| 50014740 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS010636L (Pennsylvania) | Primary |
| Entity Name | Lancaster General Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952392383 PECOS PAC ID: 0941103683 Enrollment ID: O20040309000916 |
| Mailing Address | Practice Location Address |
|---|---|
| Perry B Kubek, DO 5665 Main St, East Petersburg, PA 17520-1513 Ph: (717) 569-7011 | Perry B Kubek, DO 5970 Lemon St, East Petersburg, PA 17520-1316 Ph: (717) 569-7011 |
Sharon Eltz, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5665 Main Street, East Petersburg, PA 17520 Phone: 717-569-7011 Fax: 717-569-8694 | |
Bethany Schwartz, Family Medicine Medicare: Medicare Enrolled Practice Location: 5665 Main St, East Petersburg, PA 17520 Phone: 717-569-7011 | |
Timothy J Labosh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5665 Main St, East Petersburg, PA 17520 Phone: 717-569-7011 Fax: 717-569-8694 |