Dr Enas Tuppo, MD is a medicare enrolled "Family Medicine" physician in Hawthrone, New Jersey. She went to Wayne State University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice United Clinical Group Nj and her current practice location is
1083 Goffle Road, Hawthrone, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 427-2421.
Dr Enas Tuppo is licensed to practice in New Jersey (license number 25MA06463100) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346240215.
Physician's Profile
| Full Name | Dr Enas Tuppo |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 29 Years |
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| Location | 1083 Goffle Road, Hawthrone, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Enas Tuppo attended and graduated from Wayne State University School Of Medicine in 1995
NPI Data:
- NPI Number: 1346240215
- Provider Enumeration Date: 07/21/2005
- Last Update Date: 11/02/2010
Medicare PECOS Information:
- PECOS PAC ID: 8527093186
- Enrollment ID: I20101102001269
Medical Identifiers
Medical identifiers for Dr Enas Tuppo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346240215 | NPI | - | NPPES |
| 8238707 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 25MA06463100 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| United Clinical Group Nj | 5698147999 | 9 |
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 Enas Tuppo allows following entities to bill medicare on her behalf.
| Entity Name | Hawthorne Family Practice |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588878300
PECOS PAC ID: 1153227350
Enrollment ID: O20031209000663 |
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| Entity Name | United Clinical Group Nj |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831801083
PECOS PAC ID: 5698147999
Enrollment ID: O20230328002105 |
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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 Enas Tuppo 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 |
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Dr Enas Tuppo, MD
1083 Goffle Road,
Hawthrone, NJ 07506
Ph: (973) 427-2421 | Dr Enas Tuppo, MD
1083 Goffle Road,
Hawthrone, NJ 07506
Ph: (973) 427-2421 |
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