Gary A Bubak (NPI# 1558362244, PAC ID# 6709920150) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1558362244 |
PAC ID by PECOS | 6709920150 |
Professional Enrollment ID | I20100223000379 |
Full Name | Gary A Bubak |
Address |
517 3rd St Sw Wagner SD 57380-9675 |
Phone Number | 6053845457 |
Gender | M |
Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
Graduation Year | 1978 |
Primary Specialty | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
431315 | WAGNER COMMUNITY MEMORIAL HOSPITAL - CAH |
Address | Phone | Organization |
---|---|---|
517 3rd St Sw, Wagner, SD 57380-9675 | 6053845457 |
Street Address |
517 3RD ST SW |
City | WAGNER |
State | SD |
Zip | 57380-9675 |
Name | Specialty | Organization | Address |
---|---|---|---|
Blandine B Pierre | General Practice | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
Jaime Aguilar | Physician Assistant | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
Pedro H Ibarra Perocier | General Practice | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
Antonio C Padilla Cedo | General Practice | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
Julie K Williams | Optometry | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
Grisel Rodriguez Diaz | General Practice | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
Irwin W Fish | Physician Assistant | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
Gretchen M Esplund | Family Practice | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
Rishi Patel | General Practice | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
Michelle L Powers | Physician Assistant | Wagner Indian Health Service Health Center | 111 Washington Ave Nw, Wagner, SD 57380-4300 |
Find all physicians in zip 57380 |
City | WAGNER |
Zip Code | 57380 |
Specialty | INTERNAL MEDICINE |
City + Specialty | WAGNER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gary A Bubak.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.