Dr Ivan Lupov, MD in Indianapolis, IN - Medicare Emergency Medicine

Dr Ivan Lupov, MD is a medicare enrolled "Emergency Medicine" physician in Indianapolis, Indiana. His current practice location is 1701 N Senate Blvd, Iusom Department Of Emergency Medicine, Room Ag012, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 962-5975.

Dr Ivan Lupov is licensed to practice in Indiana (license number 11018664A) 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 1942657747.

Contact Information

	Dr Ivan Lupov, MD
	1701 N Senate Blvd, Iusom Department Of Emergency Medicine, Room Ag012, Indianapolis, IN 46202-1239
	(317) 962-5975
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ivan Lupov
Gender	Male
Speciality	Emergency Medicine
Location	1701 N Senate Blvd, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942657747
Provider Enumeration Date: 05/21/2016
Last Update Date: 02/15/2019

Medicare PECOS Information:

PECOS PAC ID: 8224329271
Enrollment ID: I20190829000846

Medical Identifiers

Medical identifiers for Dr Ivan Lupov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942657747	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	11018664A (Indiana)	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. Dr Ivan Lupov allows following entities to bill medicare on his behalf.

Entity Name	Emergency Physicians Inc Of Columbus
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912951062 PECOS PAC ID: 1557265287 Enrollment ID: O20031124000395

Entity Name	Indiana University Health Southern Indiana Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556

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 Ivan Lupov 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
Dr Ivan Lupov, MD 5034 N Capitol Ave, Indianapolis, IN 46208-3405 Ph: (812) 322-1487	Dr Ivan Lupov, MD 1701 N Senate Blvd, Iusom Department Of Emergency Medicine, Room Ag012, Indianapolis, IN 46202-1239 Ph: (317) 962-5975

Reviews and Comments

Emergency Medicine Doctors in Indianapolis, IN

Dr. Gina Marie Diantonio Swartzel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, B401, Indianapolis, IN 46202 Phone: 317-962-5975
Randall M. Todd, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 317-528-5261 Fax: 317-528-5026
Lee G. Wilbur, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Rm Ag001, Indianapolis, IN 46202 Phone: 317-962-3886 Fax: 317-962-8652
Gregory Bauwens, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-802-3140
Dr. Jennifer Rae Barker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 702 Barnhill Dr, Riley Hospital, Indianapolis, IN 46202 Phone: 317-274-4034
Heather Amos, RN Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 720 Eskenazi Ave, Indianapolis, IN 46202 Phone: 317-880-0000
Gerald William Godfrey, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 131-752-8814

Dr Ivan Lupov, MD - Medicare Emergency Medicine in Indianapolis, IN