Dr James Paul Rupp, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Georgetown, Delaware. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1980 and has 44 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice La Red Health Center Inc and his current practice location is
21444 Carmean Way, Georgetown, Delaware. You can reach out to his office (for appointments etc.) via phone at
(302) 855-2020.
Dr James Paul Rupp is licensed to practice in Delaware (license number C10002432) 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 1326076811.
Physician's Profile
Full Name | Dr James Paul Rupp |
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Gender | Male |
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Speciality | Obstetrics/gynecology |
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Experience | 44 Years |
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Location | 21444 Carmean Way, Georgetown, Delaware |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr James Paul Rupp attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1980
NPI Data:
- NPI Number: 1326076811
- Provider Enumeration Date: 06/30/2006
- Last Update Date: 06/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 9133252612
- Enrollment ID: I20110310000201
Medical Identifiers
Medical identifiers for Dr James Paul Rupp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326076811 | NPI | - | NPPES |
2197629 | Other | DE | CIGNA |
26408 | Other | DE | COVENTRY |
4273333 | Other | DE | AETNA |
412040910 | Other | DE | DE BLUE CROSS BLUE SHIELD |
315676 | Other | DE | MAMSI PLANS |
35303201 | Other | MD | CAREFIRST MD |
412040910 | Other | DE | TRICARE |
000000208474 | Other | DE | UNISON |
412040910 | Other | DE | UNITED HEALTHCARE |
0000020301 | Medicaid | DE | |
2146190000 | Other | DE | AMERIHEALTH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | C10002432 (Delaware) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
La Red Health Center Inc | 4789668815 | 17 |
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 Paul Rupp allows following entities to bill medicare on his behalf.
Entity Name | La Red Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700832185 PECOS PAC ID: 4789668815 Enrollment ID: O20070306000183 |
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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 Paul Rupp 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 Paul Rupp, MD 21444 Carmean Way, Georgetown, DE 19947 Ph: (302) 855-2020 | Dr James Paul Rupp, MD 21444 Carmean Way, Georgetown, DE 19947 Ph: (302) 855-2020 |
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