Serge Kupetz, DDS in Spring, TX - Medicare Dentist Provider

Serge Kupetz, DDS is a medicare enrolled "Dentist" provider in Spring, Texas. His current practice location is 4840 W Panther Creek Dr Ste 211, Spring, Texas. You can reach out to his office (for appointments etc.) via phone at (832) 791-5550.

Serge Kupetz is licensed to practice in Texas (license number 30605) 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 1437250289.

Contact Information

	Serge Kupetz, DDS
	4840 W Panther Creek Dr Ste 211, Spring, TX 77381-3542
	(832) 791-5550
	(718) 462-2418

Map and Direction

Healthcare Provider's Profile

Full Name	Serge Kupetz
Gender	Male
Speciality	Dentist
Location	4840 W Panther Creek Dr Ste 211, Spring, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437250289
Provider Enumeration Date: 09/26/2006
Last Update Date: 06/02/2021

Medicare PECOS Information:

PECOS PAC ID: 6901189299
Enrollment ID: I20210517001927

Medical Identifiers

Medical identifiers for Serge Kupetz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437250289	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	30605 (Texas)	Primary

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. Serge Kupetz allows following entities to bill medicare on his behalf.

Entity Name	Coney Island Dental Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255720322 PECOS PAC ID: 4880003250 Enrollment ID: O20210514002128

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. Serge Kupetz 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
Serge Kupetz, DDS 4840 W Panther Creek Dr Ste 211, Spring, TX 77381-3542 Ph: (832) 791-5550	Serge Kupetz, DDS 4840 W Panther Creek Dr Ste 211, Spring, TX 77381-3542 Ph: (832) 791-5550

Reviews and Comments

Dentist in Spring, TX

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Dr. Michael M Brymer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 157 Cypresswood Dr, Spring, TX 77388 Phone: 281-350-6677 Fax: 281-350-6688
Tony Portelles, Dentist Medicare: Not Enrolled in Medicare Practice Location: 9730 Hazel Fern Ct, Spring, TX 77379 Phone: 281-783-2273
Dr. Naomi Dalton-sajadi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3921 Woodsons Reserve Pkwy, Suite 700, Spring, TX 77386 Phone: 346-220-2402 Fax: 346-220-2403

Serge Kupetz, DDS - Medicare Dentist in Spring, TX