Emilio P Supsupin Jr, MD in Jacksonville, FL - Medicare Diagnostic Radiology

Emilio P Supsupin Jr, MD is a medicare enrolled "Radiology - Neuroradiology" physician in Jacksonville, Florida. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Ut Physicians, University Of Florida Jacksonville Physicians, Inc. and his current practice location is 655 W 8th St, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 244-4202.

Emilio P Supsupin Jr is licensed to practice in Florida (license number ME152526) 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 1225069800.

Contact Information

	Emilio P Supsupin Jr, MD
	655 W 8th St, Jacksonville, FL 32209-6511
	(904) 244-4202
	Not Available

Map and Direction

Physician's Profile

Full Name	Emilio P Supsupin Jr
Gender	Male
Speciality	Diagnostic Radiology
Experience	28 Years
Location	655 W 8th St, Jacksonville, Florida
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:

Emilio P Supsupin Jr graduated from medical school in 1996

NPI Data:

NPI Number: 1225069800
Provider Enumeration Date: 07/05/2006
Last Update Date: 02/20/2024

Medicare PECOS Information:

PECOS PAC ID: 0547265704
Enrollment ID: I20060921000166

Medical Identifiers

Medical identifiers for Emilio P Supsupin Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225069800	NPI	-	NPPES
182077101	Medicaid	TX
8S7138	Other	TX	BCBSTX
182077102	Other	TX	CSHCN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085N0700X	Radiology - Neuroradiology	N5422 (Texas)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	N5422 (Texas)	Secondary
2085N0700X	Radiology - Neuroradiology	ME152526 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Shands Jacksonville	Jacksonville, FL	Hospital
Memorial Hermann - Texas Medical Center	Houston, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ut Physicians	8426960360	1400
University Of Florida Jacksonville Physicians, Inc.	9133025869	665

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. Emilio P Supsupin Jr allows following entities to bill medicare on his behalf.

Entity Name	Ut Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268

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. Emilio P Supsupin Jr 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
Emilio P Supsupin Jr, MD Po Box 44008, Jacksonville, FL 32231-4008 Ph: (904) 244-4202	Emilio P Supsupin Jr, MD 655 W 8th St, Jacksonville, FL 32209-6511 Ph: (904) 244-4202

Reviews and Comments

Radiology Doctors in Jacksonville, FL

Dr. Brian Bishop Moon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 Phone: 904-399-5550 Fax: 904-346-4334
Dr. Rishi Norman Razdan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2416 Dunn Ave, Jacksonville, FL 32218 Phone: 904-353-3664 Fax: 904-353-3858
Dr. Travis Howell Edelstein, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, 2nd Floor Clinical Center University Of Florida Jackson, Jacksonville, FL 32209 Phone: 954-775-4645
Leo Czervionke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Nina L Kazerooni, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7908 Monterey Bay Dr, Jacksonville, FL 32256 Phone: 904-507-9318
Dr. Clyde Whitley Vick Iii, MD Radiology Medicare: Medicare Enrolled Practice Location: 1833 Boulevard, Jacksonville, FL 32206 Phone: 904-232-2751 Fax: 904-232-2482
Beau Toskich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Emilio P Supsupin Jr, MD - Medicare Diagnostic Radiology in Jacksonville, FL