| Mr Cullen Burgess Kubicki, APRN | |
|
1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | |
| (800) 491-0909 | |
| Not Available |
| Full Name | Mr Cullen Burgess Kubicki |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1053 Center Street, West Columbia, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609499623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 23889 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hilton Head Regional Medical Center | Hilton head island, SC | Hospital |
| Coastal Carolina Hospital | Hardeeville, SC | Hospital |
| Beaufort County Memorial Hospital | Beaufort, SC | Hospital |
| Hampton Regional Medical Center | Varnville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hilton Head Regional Physician Group Llc | 9234573676 | 94 |
| Entity Name | Hilton Head Regional Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548021694 PECOS PAC ID: 9234573676 Enrollment ID: O20240214000643 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Cullen Burgess Kubicki, APRN 1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 Ph: (800) 491-0909 | Mr Cullen Burgess Kubicki, APRN 1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 Ph: (800) 491-0909 |
Ashley Nix, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1612 Airport Blvd, West Columbia, SC 29169 Phone: 803-380-6399 Fax: 877-484-7187 | |
June Taylor Clark, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 Phone: 800-491-0909 | |
Sommer Lane Kitchin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1053 Center St, West Columbia, SC 29169 Phone: 800-491-0909 | |
Teresa Biediger Bowers, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2728 Sunset Blvd, Suite 402, West Columbia, SC 29169 Phone: 803-794-7511 Fax: 803-794-7751 | |
Heather Shaw, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2858 Sunset Blvd, West Columbia, SC 29169 Phone: 803-699-9073 Fax: 866-527-0937 | |
Amy S Shenkar, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2480 Fax: 803-936-4102 | |
Dr. Elizabeth M Mcmicken, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 131 Sunset Ct, West Columbia, SC 29169 Phone: 803-796-2222 Fax: 803-796-7839 |