Dr Jerald Ivan Kupperberg, MD is a
Pediatrics physician based in Foster, Rhode Island. Dr Jerald Ivan Kupperberg is licensed to practice in Rhode Island (license number MD05404) and his current practice location is 54 Howard Hill Road, Foster, Rhode Island. He can be reached at his office (for appointments etc.) via phone at
(401) 397-4638.
NPI number for Dr Jerald Ivan Kupperberg is 1932267606 and his current mailing address is 54 Howard Hill Road, Foster, Rhode Island. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932267606.
Physician's Profile
| Full Name | Dr Jerald Ivan Kupperberg |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 54 Howard Hill Road, Foster, Rhode Island |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932267606
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 10/04/2013
Medical Identifiers
Medical identifiers for Dr Jerald Ivan Kupperberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932267606 | NPI | - | NPPES |
| 5352215 | Other | | AETNA |
| 406111 | Other | | TUFTS |
| 8604 | Medicaid | RI | |
| 1200196 | Other | | UNITED HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | MD05404 (Rhode Island) | Primary |
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 Jerald Ivan Kupperberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jerald Ivan Kupperberg, MD
54 Howard Hill Road,
Foster, RI 02825
Ph: (401) 397-4638 | Dr Jerald Ivan Kupperberg, MD
54 Howard Hill Road,
Foster, RI 02825
Ph: (401) 397-4638 |
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