Dr Scott Lawrence Rupp, MD is a medicare enrolled "General Practice" physician in Moody Afb, Georgia. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice South Georgia Emergency Medicine Associates Pc and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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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| Experience | 7 Years |
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| Location | 3280 Mitchell Blvd, Moody Afb, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Scott Lawrence Rupp graduated from medical school in 2019
NPI Data:
- NPI Number: 1578125225
- Provider Enumeration Date: 07/02/2019
- Last Update Date: 06/11/2025
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) | Secondary |
| 208D00000X | General Practice | 97048 (Georgia) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
| Sgmc Health | Valdosta, GA | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| South Georgia Emergency Medicine Associates Pc | 4880850775 | 33 |
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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