Cameron Cupp, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Portland, Oregon. His current practice location is
3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 494-8311.
Cameron Cupp is licensed to practice in * (Not Available) (license number ) 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 1639872864.
Physician's Profile
Full Name | Cameron Cupp |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
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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: 1639872864
- Provider Enumeration Date: 03/27/2023
- Last Update Date: 03/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789046194
- Enrollment ID: I20230817000615
Medical Identifiers
Medical identifiers for Cameron Cupp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639872864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 207R0000X (Washington) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Cameron Cupp 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 |
Cameron Cupp, 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8211 | Cameron Cupp, 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 Ph: (503) 494-8311 |
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