Dr Raymond Patrick Shupak, DMD, MD in Fort Worth, TX - Medicare Maxillofacial Surgery Provider

Dr Raymond Patrick Shupak, DMD, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Fort Worth, Texas. He went to Univ Of Pennsylvania School Of Dental Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Geisinger Clinic and his current practice location is 1500 South Main Street Jps Hospital, Dept Of Omfs, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 702-5595.

Dr Raymond Patrick Shupak is licensed to practice in Texas (license number 35670) 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 1962798462.

Contact Information

	Dr Raymond Patrick Shupak, DMD, MD
	1500 South Main Street Jps Hospital, Dept Of Omfs, Fort Worth, TX 76104
	(817) 702-5595
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Raymond Patrick Shupak
Gender	Male
Speciality	Maxillofacial Surgery
Experience	14 Years
Location	1500 South Main Street Jps Hospital, Fort Worth, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Raymond Patrick Shupak attended and graduated from Univ Of Pennsylvania School Of Dental Medicine in 2011

NPI Data:

NPI Number: 1962798462
Provider Enumeration Date: 06/22/2011
Last Update Date: 05/24/2021

Medicare PECOS Information:

PECOS PAC ID: 1759645427
Enrollment ID: I20180504000038

Medical Identifiers

Medical identifiers for Dr Raymond Patrick Shupak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962798462	NPI	-	NPPES
1029564820001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DS038719 (Pennsylvania)	Secondary
204E00000X	Oral & Maxillofacial Surgery	S4567 (Texas)	Secondary
204E00000X	Oral & Maxillofacial Surgery	MD461668 (Pennsylvania)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	35670 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Geisinger Medical Center	Danville, PA	Hospital
Geisinger-bloomsburg Hospital	Bloomsburg, PA	Hospital
Geisinger Wyoming Valley Medical Center	Wilkes barre, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Geisinger Clinic	5395657001	2841

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. Dr Raymond Patrick Shupak allows following entities to bill medicare on his behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

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. Dr Raymond Patrick Shupak 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
Dr Raymond Patrick Shupak, DMD, MD 1500 South Main Street Jps Hospital, Dept Of Omfs, Fort Worth, TX 76104 Ph: (817) 702-5595	Dr Raymond Patrick Shupak, DMD, MD 1500 South Main Street Jps Hospital, Dept Of Omfs, Fort Worth, TX 76104 Ph: (817) 702-5595

Reviews and Comments

Dentist in Fort Worth, TX

Richard Irwin Marks, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 105 Bellvue Dr, Fort Worth, TX 76134 Phone: 817-293-2088 Fax: 817-293-8377
Miss Eunjin M Suh, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5416 Basswood Blvd, Fort Worth, TX 76137 Phone: 817-656-1215 Fax: 877-230-8349
Dr. Joshua Michael Corcran, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4833 S Hulen St Ste 101, Fort Worth, TX 76132 Phone: 817-294-4600
Dr. Claudia Appiah, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6708 Azle Ave Ste 1, Fort Worth, TX 76135 Phone: 817-237-3232
Dr. Michael D Cosgrove, DDS, PC Dentist Medicare: Not Enrolled in Medicare Practice Location: 1005 5th Ave, Fort Worth, TX 76104 Phone: 817-335-3555 Fax: 817-332-2955
Dr. Kevin M Altieri, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 5521 Bellaire Dr S, Suite202, Fort Worth, TX 76109 Phone: 817-294-5513
Mr. Royce Willard Reese Sr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8525 Boat Club Rd, Reese Dental At Lake Country, Pllc, Fort Worth, TX 76179 Phone: 817-500-5288 Fax: 817-500-5288

Dr Raymond Patrick Shupak, DMD, MD - Medicare Dentist in Fort Worth, TX