| Stephanie Alexandra Kubacak, MD | |
|
8050 E Highway 191 Ste 200, Odessa, TX 79765-8607 | |
| (432) 337-5411 | |
| Not Available |
| Full Name | Stephanie Alexandra Kubacak |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 8050 E Highway 191 Ste 200, Odessa, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821086729 | NPI | - | NPPES |
| 8CR485 | Other | TX | BCBS |
| 168108203 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L8779 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Center Hospital | Odessa, TX | Hospital |
| Odessa Regional Medical Center | Odessa, TX | Hospital |
| Reeves County Hospital District | Pecos, TX | Hospital |
| Midland Memorial Hospital | Midland, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mch Professional Care | 1658358635 | 46 |
| Entity Name | Mch Professional Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649391269 PECOS PAC ID: 1658358635 Enrollment ID: O20040707001020 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Alexandra Kubacak, MD 8050 E Highway 191 Ste 200, Odessa, TX 79765-8607 Ph: (432) 337-5411 | Stephanie Alexandra Kubacak, MD 8050 E Highway 191 Ste 200, Odessa, TX 79765-8607 Ph: (432) 337-5411 |
Augusto C Sepulveda, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8050 E Highway 191, Suite 200, Odessa, TX 79765 Phone: 432-337-5411 Fax: 432-337-0301 | |
Suresh Prasad, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 403 Pittsburg Ave, Odessa, TX 79761 Phone: 432-332-3400 Fax: 432-332-6500 | |
Dr. Armugam Prasad Mekala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 Fax: 432-640-4778 | |
Shashank Satish Nayak, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5375 | |
Dr. Timothy Kilian George, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 N Washington Ave, Odessa, TX 79761 Phone: 432-335-8275 Fax: 432-334-0687 | |
Sam Eun Kim, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8050 E Highway 191, Ste 200, Odessa, TX 79765 Phone: 432-337-5411 Fax: 432-561-5014 | |
Dr. Pankaj Khandelwal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 N Washington Ave, Odessa, TX 79761 Phone: 432-335-8275 Fax: 432-334-0687 |