Mr Thomas Gregory Kuerbitz Ii, PA-C is a medicare enrolled "Physician Assistant - Medical" in Lake Villa, Illinois. His current practice location is
300 N Milwaukee Ave Ste D, Lake Villa, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 356-6634.
Mr Thomas Gregory Kuerbitz Ii is licensed to practice in Illinois (license number 085003761) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033420898.
Provider's Profile
Full Name | Mr Thomas Gregory Kuerbitz Ii |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 300 N Milwaukee Ave Ste D, Lake Villa, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033420898
- Provider Enumeration Date: 06/27/2010
- Last Update Date: 09/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 0244415628
- Enrollment ID: I20191004002875
Medical Identifiers
Medical identifiers for Mr Thomas Gregory Kuerbitz Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033420898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 2725 (Wisconsin) | Secondary |
363AM0700X | Physician Assistant - Medical | 085003761 (Illinois) | Primary |
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 Thomas Gregory Kuerbitz Ii 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 Thomas Gregory Kuerbitz Ii, PA-C 403 E 11th St, Panama City, FL 32401-3409 Ph: (850) 767-3350 | Mr Thomas Gregory Kuerbitz Ii, PA-C 300 N Milwaukee Ave Ste D, Lake Villa, IL 60046-8563 Ph: (847) 356-6634 |
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