Evan Loren Kulbacki, MD - Medicare Pathology in Kingsport, TN

Evan Loren Kulbacki, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Kingsport, Tennessee. He went to University Of Utah School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Highlands Pathology Consultants, P.c. and his current practice location is 130 W Ravine Rd, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 224-6711.

Evan Loren Kulbacki is licensed to practice in Tennessee (license number 49647) 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 1659531408.

Contact Information

Evan Loren Kulbacki, MD
130 W Ravine Rd,
Kingsport, TN 37660-3837
(423) 224-6711
(423) 224-6717



Physician's Profile

Full NameEvan Loren Kulbacki
GenderMale
SpecialityPathology
Experience16 Years
Location130 W Ravine Rd, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Evan Loren Kulbacki attended and graduated from University Of Utah School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1659531408
  • Provider Enumeration Date: 06/16/2008
  • Last Update Date: 09/08/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4880833771
  • Enrollment ID: I20130626000155

Medical Identifiers

Medical identifiers for Evan Loren Kulbacki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659531408NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZH0000XPathology - Hematology 49647 (Tennessee)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 49647 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellmont Holston Valley Medical CenterKingsport, TNHospital
Indian Path Community HospitalKingsport, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Highlands Pathology Consultants, P.c.31735157158

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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. Evan Loren Kulbacki allows following entities to bill medicare on his behalf.
Entity NameHighlands Pathology Consultants, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063498970
PECOS PAC ID: 3173515715
Enrollment ID: O20040401001430

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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. Evan Loren Kulbacki 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 AddressPractice Location Address
Evan Loren Kulbacki, MD
2175 Highway 75, Suite 4,
Blountville, TN 37617

Ph: (423) 323-5290
Evan Loren Kulbacki, MD
130 W Ravine Rd,
Kingsport, TN 37660-3837

Ph: (423) 224-6711

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Pathology Doctors in Kingsport, TN

Dr. Emanuela Ft Veras, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-6711    Fax: 423-224-6717
Laura Evelyn Stewart, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-6711    Fax: 423-224-6717
Gary L Adelson, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-6718    Fax: 423-224-6717
Kristin Pierce, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-6718    Fax: 423-224-6717
Marcus C Grimes, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-6718    Fax: 423-224-6717
Christopher T Heitz, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-6711    Fax: 423-224-6717
Peter F Gale, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-6718    Fax: 423-224-6717

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