Dan Chaksupa, MD - Medicare Internal Medicine in Raleigh, NC

Dan Chaksupa, MD is a medicare enrolled "Internal Medicine" physician in Raleigh, North Carolina. He went to West Virginia University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Raleigh Medical Group Pa and his current practice location is 3521 Haworth Dr, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 782-1669.

Dan Chaksupa is licensed to practice in North Carolina (license number 2005-01602) 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 1992819676.

Contact Information

Dan Chaksupa, MD
3521 Haworth Dr,
Raleigh, NC 27609-7244
(919) 782-1669
(919) 782-4756

Map and Direction




Physician's Profile

Full NameDan Chaksupa
GenderMale
SpecialityInternal Medicine
Experience22 Years
Location3521 Haworth Dr, Raleigh, North Carolina
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:
  • Dan Chaksupa attended and graduated from West Virginia University School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1992819676
  • Provider Enumeration Date: 08/18/2006
  • Last Update Date: 03/08/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 3577570407
  • Enrollment ID: I20060316000537

Medical Identifiers

Medical identifiers for Dan Chaksupa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992819676NPI-NPPES
5902990MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2005-01602 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Raleigh Medical Group Pa680087432298

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. Dan Chaksupa allows following entities to bill medicare on his behalf.
Entity NameRaleigh Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104962315
PECOS PAC ID: 6800874322
Enrollment ID: O20040712000418

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. Dan Chaksupa 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
Dan Chaksupa, MD
Po Box 18563,
Raleigh, NC 27619-8563

Ph: (919) 782-1806
Dan Chaksupa, MD
3521 Haworth Dr,
Raleigh, NC 27609-7244

Ph: (919) 782-1669

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.