Mr Andrew Kociubuk, APNP in North Providence, RI

Mr Andrew Kociubuk, APNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in North Providence, Rhode Island. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Group Health Cooperative Of South Central Wisconsin and his current practice location is 200 High Service Ave, North Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 456-2000.

Mr Andrew Kociubuk is licensed to practice in Wisconsin (license number 11039-33) 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 1386241867.

Contact Information

	Mr Andrew Kociubuk, APNP
	200 High Service Ave, North Providence, RI 02904-5113
	(401) 456-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Andrew Kociubuk
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	200 High Service Ave, North Providence, Rhode Island
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:

Mr Andrew Kociubuk graduated from nursing school in 2021

NPI Data:

NPI Number: 1386241867
Provider Enumeration Date: 10/07/2020
Last Update Date: 10/01/2025

Medicare PECOS Information:

PECOS PAC ID: 7719380476
Enrollment ID: I20210720000318

Medical Identifiers

Medical identifiers for Mr Andrew Kociubuk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386241867	NPI	-	NPPES
RN.466178	Other	OH	REGISTERED NURSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	11039-33 (Wisconsin)	Primary
163WP0808X	Registered Nurse - Psychiatric/mental Health	RN.466178 (Ohio)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Group Health Cooperative Of South Central Wisconsin	3870489586	199

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. Mr Andrew Kociubuk allows following entities to bill medicare on his behalf.

Entity Name	Group Health Cooperative Of South Central Wisconsin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306

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. Mr Andrew Kociubuk 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
Mr Andrew Kociubuk, APNP 200 High Service Ave, North Providence, RI 02904-5113 Ph: () -	Mr Andrew Kociubuk, APNP 200 High Service Ave, North Providence, RI 02904-5113 Ph: (401) 456-2000

Reviews and Comments

Nurse Practitioner Nurses in North Providence, RI

Constance Marie Ducharme, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 966 Mineral Spring Ave, North Providence, RI 02904 Phone: 401-475-3063 Fax: 401-475-0593
Eucharia U Ibeh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1635 Mineral Spring Ave Ste 203, North Providence, RI 02904 Phone: 401-525-8202 Fax: 308-888-6638
Rayra K Coelho, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1630 Mineral Spring Ave Ste 2, North Providence, RI 02904 Phone: 401-353-7330
Dally Bucci, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000
Modupe O Williams, NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Kristen Dr, North Providence, RI 02911 Phone: 401-447-8569
Roshani Shrestha, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1630 Mineral Spring Ave, North Providence, RI 02904 Phone: 401-353-7330
Mrs. Jennifer Ann Strahan, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000

Mr Andrew Kociubuk, APNP - Medicare Nurse Practitioner in North Providence, RI