Kyle Justin Dubose, DO - Medicare Undersea And Hyperbaric Medicine in Kenosha, WI

Kyle Justin Dubose, DO is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Kenosha, Wisconsin. He went to West Virginia School Of Osteopathic Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Undersea And Hyperbaric Medicine. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is 10400 75th St, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 942-5600.

Kyle Justin Dubose is licensed to practice in Wisconsin (license number 67393) 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 1285093104.

Contact Information

Kyle Justin Dubose, DO
10400 75th St,
Kenosha, WI 53142-7884
(262) 942-5600
(262) 948-7388



Physician's Profile

Full NameKyle Justin Dubose
GenderMale
SpecialityUndersea And Hyperbaric Medicine
Experience11 Years
Location10400 75th St, Kenosha, Wisconsin
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:
  • Kyle Justin Dubose attended and graduated from West Virginia School Of Osteopathic Medicine in 2013
  NPI Data:
  • NPI Number: 1285093104
  • Provider Enumeration Date: 02/20/2016
  • Last Update Date: 09/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7517238447
  • Enrollment ID: I20170810001236

Medical Identifiers

Medical identifiers for Kyle Justin Dubose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285093104NPI-NPPES
100068480MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine 67393 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Medical Center KenoshaKenosha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Medical Group, Inc.67097942583207

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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. Kyle Justin Dubose allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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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. Kyle Justin Dubose 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
Kyle Justin Dubose, DO
2901 W Kinnickinnic River Pkwy Ste 309,
Milwaukee, WI 53215-3660

Ph: (414) 649-1292
Kyle Justin Dubose, DO
10400 75th St,
Kenosha, WI 53142-7884

Ph: (262) 942-5600

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Preventive Medicine Doctors in Kenosha, WI

Gregory Kaftan, MD
Preventive Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5555 30th Ave, Kenosha, WI 53144
Phone: 262-658-7102    

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