Jefferson Mason Trupp, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Lynn Haven, Florida. He went to University Of South Florida College Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Shawnee Mission Medical Center Inc and his current practice location is
2900 S Highway 77, Lynn Haven, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 481-1687.
Jefferson Mason Trupp is licensed to practice in Florida (license number ME40682) 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 1871552638.
Physician's Profile
| Full Name | Jefferson Mason Trupp |
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| Gender | Male |
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| Speciality | Radiation Oncology |
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| Experience | 44 Years |
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| Location | 2900 S Highway 77, Lynn Haven, Florida |
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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. |
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Medical Education and Training:
- Jefferson Mason Trupp attended and graduated from University Of South Florida College Of Medicine in 1980
NPI Data:
- NPI Number: 1871552638
- Provider Enumeration Date: 03/21/2006
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 3375577083
- Enrollment ID: I20230530003199
Medical Identifiers
Medical identifiers for Jefferson Mason Trupp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871552638 | NPI | - | NPPES |
| 266076800 | Medicaid | FL | |
| 000014577 | Medicaid | AL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0001X | Radiology - Radiation Oncology | ME40682 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Shawnee Mission Medical Center Inc | 9537119037 | 171 |
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. Jefferson Mason Trupp allows following entities to bill medicare on his behalf.
| Entity Name | Shawnee Mission Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992735690
PECOS PAC ID: 9537119037
Enrollment ID: O20050701000310 |
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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. Jefferson Mason Trupp 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 |
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Jefferson Mason Trupp, MD
8203 N Lagoon Dr,
Panama City, FL 32408-5267
Ph: (850) 896-0773 | Jefferson Mason Trupp, MD
2900 S Highway 77,
Lynn Haven, FL 32444-5612
Ph: (850) 481-1687 |
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