Dr Jason Brett Lupow, MD is a medicare enrolled "General Practice" physician in Mamaroneck, New York. He went to New York Medical College and graduated in 2002 and has 22 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice City Medical Of Upper East Side Pllc, Montefiore Medical Center and his current practice location is
1030 W Boston Post Rd, Mamaroneck, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 777-2273.
Dr Jason Brett Lupow is licensed to practice in New York (license number 237641) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1417055674.
Physician's Profile
Full Name | Dr Jason Brett Lupow |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 22 Years |
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Location | 1030 W Boston Post Rd, Mamaroneck, New York |
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Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jason Brett Lupow attended and graduated from New York Medical College in 2002
NPI Data:
- NPI Number: 1417055674
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 10/11/2013
Medicare PECOS Information:
- PECOS PAC ID: 9133221054
- Enrollment ID: I20080823000080
Medical Identifiers
Medical identifiers for Dr Jason Brett Lupow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417055674 | NPI | - | NPPES |
P00391144 | Other | NJ | RAILROAD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 25MA08061900 (New Jersey) | Secondary |
207P00000X | Emergency Medicine | 237641 (New York) | Secondary |
208D00000X | General Practice | 237641 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
City Medical Of Upper East Side Pllc | 0648465039 | 737 |
Montefiore Medical Center | 3779496021 | 2071 |
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 Jason Brett Lupow allows following entities to bill medicare on his behalf.
Entity Name | Montefiore Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
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Entity Name | City Medical Of Upper East Side Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801277629 PECOS PAC ID: 0648465039 Enrollment ID: O20101111000052 |
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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 Jason Brett Lupow 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 Jason Brett Lupow, MD 10 Mark Dr, Rye Brook, NY 10573-1411 Ph: (917) 704-3356 | Dr Jason Brett Lupow, MD 1030 W Boston Post Rd, Mamaroneck, NY 10543-3328 Ph: (914) 777-2273 |
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