Dr Mical J Kupke, MD is a medicare enrolled "Emergency Medicine" physician in Langley Afb, Virginia. Her current practice location is
77 Nealy Blvd, Langley Afb, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 764-3260.
Dr Mical J Kupke is licensed to practice in Virginia (license number 010106772) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811956980.
Physician's Profile
Full Name | Dr Mical J Kupke |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 77 Nealy Blvd, Langley Afb, 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: 1811956980
- Provider Enumeration Date: 03/18/2006
- Last Update Date: 10/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 8325348766
- Enrollment ID: I20151208000245
Medical Identifiers
Medical identifiers for Dr Mical J Kupke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811956980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083A0100X | Preventive Medicine - Aerospace Medicine | 0101056772 (Virginia) | Secondary |
208D00000X | General Practice | 0101056772 (Virginia) | Secondary |
207P00000X | Emergency Medicine | 010106772 (Virginia) | 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 Mical J Kupke 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 Mical J Kupke, MD 122 Sterling Ct, Yorktown, VA 23693-4516 Ph: (702) 588-4033 | Dr Mical J Kupke, MD 77 Nealy Blvd, Langley Afb, VA 23665-2023 Ph: (757) 764-3260 |
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