Dr James Namsupak, MD is a medicare enrolled "General Practice" physician in Fairmont, West Virginia. His current practice location is
401 Guffey St, John Manchin Sr. Health Care Center, Fairmont, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 363-2500.
Dr James Namsupak is licensed to practice in West Virginia (license number 23919) 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 1043486145.
Physician's Profile
Full Name | Dr James Namsupak |
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Gender | Male |
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Speciality | General Practice |
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Location | 401 Guffey St, Fairmont, West Virginia |
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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: 1043486145
- Provider Enumeration Date: 05/08/2008
- Last Update Date: 09/16/2013
Medicare PECOS Information:
- PECOS PAC ID: 2264568971
- Enrollment ID: I20100406000552
Medical Identifiers
Medical identifiers for Dr James Namsupak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043486145 | NPI | - | NPPES |
3810016983 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 23919 (West Virginia) | Primary |
207Q00000X | Family Medicine | 23919 (West Virginia) | Secondary |
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 James Namsupak allows following entities to bill medicare on his behalf.
Entity Name | Wvdhhr John Manchin Sr Health Care Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417963000 PECOS PAC ID: 2466444518 Enrollment ID: O20040331000392 |
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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 James Namsupak 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 James Namsupak, MD 401 Guffey St, Fairmont, WV 26554-4029 Ph: (304) 363-2500 | Dr James Namsupak, MD 401 Guffey St, John Manchin Sr. Health Care Center, Fairmont, WV 26554-4029 Ph: (304) 363-2500 |
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