Michael Lamar Kukulka, in Bloomington, IN - Medicare Nurse Practitioner

Michael Lamar Kukulka, is a medicare enrolled "Nurse Practitioner - Family" in Bloomington, Indiana. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Pic Indiana Pc, Physicians Immediate Care North Chicago Pllc and his current practice location is 1355 W Bloomfield Rd Ste 3, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 200-2789.

Michael Lamar Kukulka is licensed to practice in Indiana (license number 71009326A) 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 1356990915.

Contact Information

	Michael Lamar Kukulka,
	1355 W Bloomfield Rd Ste 3, Bloomington, IN 47403-2051
	(812) 200-2789
	Not Available

Map and Direction

Provider's Profile

Full Name	Michael Lamar Kukulka
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	1355 W Bloomfield Rd Ste 3, Bloomington, Indiana
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:

Michael Lamar Kukulka graduated from nursing school in 2019

NPI Data:

NPI Number: 1356990915
Provider Enumeration Date: 09/06/2019
Last Update Date: 08/02/2023

Medicare PECOS Information:

PECOS PAC ID: 4385075258
Enrollment ID: I20200508000813

Medical Identifiers

Medical identifiers for Michael Lamar Kukulka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356990915	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	195749 (Alaska)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71009326A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71009326A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pic Indiana Pc	3476790239	71
Physicians Immediate Care North Chicago Pllc	8729064159	202

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. Michael Lamar Kukulka allows following entities to bill medicare on his behalf.

Entity Name	Indiana University Health Southern Indiana Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556

Entity Name	Pic Indiana Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942546890 PECOS PAC ID: 3476790239 Enrollment ID: O20130515000110

Entity Name	Recover Together Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891102497 PECOS PAC ID: 7810247533 Enrollment ID: O20201029002221

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. Michael Lamar Kukulka 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
Michael Lamar Kukulka, 2602 Glacier St, Anchorage, AK 99508-3772 Ph: (907) 843-1664	Michael Lamar Kukulka, 1355 W Bloomfield Rd Ste 3, Bloomington, IN 47403-2051 Ph: (812) 200-2789

Reviews and Comments

Nurse Practitioner Nurses in Bloomington, IN

Ruana Cronin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-3299 Fax: 812-355-3290
Beverly J Shamloo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4500
Pamela Ann Maclaughlin, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 S Adams St, Bloomington, IN 47403 Phone: 812-333-6324 Fax: 812-331-6700
Nichole Hickman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 S Landmark Ave, Bloomington, IN 47403 Phone: 812-335-2434 Fax: 812-335-7604
Robert G Pursell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9515
Emilee J Mcglone, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-330-3688 Fax: 812-355-3270
Erin Elizabeth Barnett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-6900

Michael Lamar Kukulka, - Medicare Nurse Practitioner in Bloomington, IN