Dr Scott Lawrence Rupp, MD is a medicare enrolled "Emergency Medicine" physician in Moody Afb, Georgia. His current practice location is
3280 Mitchell Blvd, Moody Afb, Georgia. You can reach out to his office (for appointments etc.) via phone at
(229) 257-9581.
Dr Scott Lawrence Rupp is licensed to practice in Georgia (license number 97048) 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 1578125225.
Physician's Profile
Full Name | Dr Scott Lawrence Rupp |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 3280 Mitchell Blvd, Moody Afb, Georgia |
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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: 1578125225
- Provider Enumeration Date: 07/02/2019
- Last Update Date: 03/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527417765
- Enrollment ID: I20231213000335
Medical Identifiers
Medical identifiers for Dr Scott Lawrence Rupp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578125225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 97048 (Georgia) | Primary |
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 Scott Lawrence Rupp allows following entities to bill medicare on his behalf.
Entity Name | South Georgia Emergency Medicine Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386903649 PECOS PAC ID: 4880850775 Enrollment ID: O20120720000457 |
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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 Scott Lawrence 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 Scott Lawrence Rupp, MD 3280 Mitchell Blvd, Moody Afb, GA 31699-1500 Ph: (229) 257-9581 | Dr Scott Lawrence Rupp, MD 3280 Mitchell Blvd, Moody Afb, GA 31699-3018 Ph: (229) 257-9581 |
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