Kristofer Nathaniel Tupper, DO in Fairfield, CT

Kristofer Nathaniel Tupper, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Fairfield, Connecticut. He went to University Of New England, College Of Osteo Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Newton-wellesley Medical Group, Inc. and his current practice location is 305 Black Rock Tpke, Fairfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 337-2600.

Kristofer Nathaniel Tupper is licensed to practice in Connecticut (license number 69436) 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 1306378104.

Contact Information

	Kristofer Nathaniel Tupper, DO
	305 Black Rock Tpke, Fairfield, CT 06825-5508
	(203) 337-2600
	(203) 337-2611

Map and Direction

Physician's Profile

Full Name	Kristofer Nathaniel Tupper
Gender	Male
Speciality	Sports Medicine
Experience	8 Years
Location	305 Black Rock Tpke, Fairfield, Connecticut
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:

Kristofer Nathaniel Tupper attended and graduated from University Of New England, College Of Osteo Medicine in 2017

NPI Data:

NPI Number: 1306378104
Provider Enumeration Date: 03/30/2017
Last Update Date: 01/21/2022

Medicare PECOS Information:

PECOS PAC ID: 9234499674
Enrollment ID: I20240304002709

Medical Identifiers

Medical identifiers for Kristofer Nathaniel Tupper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306378104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	69436 (Connecticut)	Secondary
207Q00000X	Family Medicine	LP04070 (Rhode Island)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207QS0010X	Family Medicine - Sports Medicine	69436 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Newton-wellesley Medical Group, Inc.	0244133494	392

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. Kristofer Nathaniel Tupper allows following entities to bill medicare on his behalf.

Entity Name	Newton-wellesley Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538191218 PECOS PAC ID: 0244133494 Enrollment ID: O20040127001012

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. Kristofer Nathaniel Tupper 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
Kristofer Nathaniel Tupper, DO 305 Black Rock Tpke, Fairfield, CT 06825-5508 Ph: (203) 337-2600	Kristofer Nathaniel Tupper, DO 305 Black Rock Tpke, Fairfield, CT 06825-5508 Ph: (203) 337-2600

Reviews and Comments

Family Medicine Doctors in Fairfield, CT

Veronica R Plasencia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Reef Rd, Room 203, Fairfield, CT 06824 Phone: 203-255-0215
Kellie Watkins-colwell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Reef Rd, Room 203, Fairfield, CT 06824 Phone: 203-255-0215 Fax: 203-255-0046
Dina Elnaggar, MD, MS Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-382-5556
Dr. Leslie Robin Miller, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 52 Beach Rd, Ste 102, Fairfield, CT 06824 Phone: 203-256-9905 Fax: 203-254-9848
Dr. Larry E. Novik, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 325 Reef Rd, Suite 203, Fairfield, CT 06824 Phone: 203-255-0215 Fax: 203-255-0046
Garry Boxer, Family Medicine Medicare: Medicare Enrolled Practice Location: 1055 Post Rd, Fairfield, CT 06824 Phone: 203-371-4895

Kristofer Nathaniel Tupper, DO - Medicare Sports Medicine in Fairfield, CT