Kathleen Chupka, PT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Kingston, Pennsylvania. Her current practice location is
256 Schuyler Ave, Kingston, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 283-5917.
Kathleen Chupka is licensed to practice in Pennsylvania (license number PT006313L) 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 1013549963.
Physician's Profile
| Full Name | Kathleen Chupka |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 256 Schuyler Ave, Kingston, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013549963
- Provider Enumeration Date: 02/09/2020
- Last Update Date: 02/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 9133563497
- Enrollment ID: I20240215000388
Medical Identifiers
Medical identifiers for Kathleen Chupka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013549963 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | PT006313L (Pennsylvania) | 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. Kathleen Chupka allows following entities to bill medicare on her behalf.
| Entity Name | Associated Family Home Care Inc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1609871409
PECOS PAC ID: 6103975107
Enrollment ID: O20231211003222 |
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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. Kathleen Chupka 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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Kathleen Chupka, PT
70 E Overbrook Rd,
Shavertown, PA 18708-1111
Ph: (570) 690-6786 | Kathleen Chupka, PT
256 Schuyler Ave,
Kingston, PA 18704-3322
Ph: (570) 283-5917 |
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