Eric Kapustka, DDS is a medicare enrolled "Dentist - General Practice" provider in Rogersville, Missouri. His current practice location is
125 Johnstown Dr, Rogersville, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 753-2963.
Eric Kapustka is licensed to practice in Missouri (license number 14426) 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 1417042102.
Healthcare Provider's Profile
Full Name | Eric Kapustka |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 125 Johnstown Dr, Rogersville, Missouri |
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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: 1417042102
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3375824675
- Enrollment ID: I20161228001351
Medical Identifiers
Medical identifiers for Eric Kapustka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417042102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 14426 (Missouri) | 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. Eric Kapustka 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 |
Eric Kapustka, DDS 125 Johnstown Dr, Rogersville, MO 65742-9366 Ph: (417) 753-2963 | Eric Kapustka, DDS 125 Johnstown Dr, Rogersville, MO 65742-9366 Ph: (417) 753-2963 |
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