Dr Mark Gustav Wipfler, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Southbury, Connecticut. His current practice location is
43 Hinman Ln W, Southbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 262-4443.
Dr Mark Gustav Wipfler is licensed to practice in Connecticut (license number 031943) 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 1871653691.
Physician's Profile
Full Name | Dr Mark Gustav Wipfler |
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Gender | Male |
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Speciality | Emergency Medicine - Emergency Medical Services |
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Location | 43 Hinman Ln W, Southbury, Connecticut |
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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: 1871653691
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 03/07/2014
Medicare PECOS Information:
- PECOS PAC ID: 5294760260
- Enrollment ID: I20090724000525
Medical Identifiers
Medical identifiers for Dr Mark Gustav Wipfler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871653691 | NPI | - | NPPES |
930032965 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | 031943 (Connecticut) | Primary |
207P00000X | Emergency Medicine | 031943 (Connecticut) | 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 Mark Gustav Wipfler allows following entities to bill medicare on his behalf.
Entity Name | Danbury Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548293343 PECOS PAC ID: 1557273935 Enrollment ID: O20031104000476 |
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Entity Name | Norwalk Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427041581 PECOS PAC ID: 3375436660 Enrollment ID: O20040202000988 |
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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 Mark Gustav Wipfler 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 Mark Gustav Wipfler, MD 43 Hinman Ln W, Southbury, CT 06488-3828 Ph: (203) 262-4443 | Dr Mark Gustav Wipfler, MD 43 Hinman Ln W, Southbury, CT 06488-3828 Ph: (203) 262-4443 |
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